Individual
PRANAHITHA T REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
17844 E 23RD ST S, INDEPENDENCE, MO 64057-1840
(816) 254-3652
(816) 254-9243
Mailing address
17844 E 23RD ST S, INDEPENDENCE, MO 64057-1840
(816) 836-6705
(816) 257-2575
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
04-23795
KS
2084P0800X
Psychiatry Physician
Primary
R5N40
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17527037
BCBS OF KANSAS CITY
KS
01
—
A042
TRICARE
—
Enumeration date
06/12/2006
Last updated
04/23/2026
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