Individual
MR. GAUTHAM REDDY KANDUKURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
PO BOX 343, REEDSPORT, OR 97467-0343
(816) 800-9020
Mailing address
2301 HOLMES STREET, KANSAS CITY, MO 64108
(816) 404-4175
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
14217294-1205
UT
2085R0204X
Vascular & Interventional Radiology Physician
Primary
MD211277
OR
Other
Enumeration date
05/05/2016
Last updated
05/15/2025
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