Individual
KRISHNAMOHAN REDDY BASARAKODU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1108 ROSS CLARK CIR, DOTHAN, AL 36301-3022
(334) 944-4673
(334) 712-3309
Mailing address
1400 AFFLINK PLACE, SUITE 100, TUSCALOOSA, AL 35406
(205) 366-9740
(205) 344-9992
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
2007001544
MO
Other
Enumeration date
08/30/2006
Last updated
04/25/2025
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