Individual
DR. MAMTA S REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
Mailing address
PO BOX 804435, KANSAS CITY, MO 64108
(816) 701-5100
(816) 701-5104
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
04-36245
KS
207K00000X
Allergy & Immunology Physician
2013006648
MO
2080P0201X
Pediatric Allergy/Immunology Physician
Primary
229803
NY
Other
Enumeration date
10/19/2006
Last updated
04/04/2013
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