Individual
MRS. SUGUNA V REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
700 W CENTRAL AVE, STE 108, EL DORADO, KS 67042-2184
(316) 321-7550
(316) 321-1404
Mailing address
700 W CENTRAL AVE, STE 108, EL DORADO, KS 67042-2184
(316) 321-7550
(316) 321-1404
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
18326
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100194400A
—
KS
01
—
617610
HEALTHWAVE
KS
Enumeration date
07/08/2005
Last updated
08/04/2009
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