Individual
KRISHNA KISHOR KASIREDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14502 W MEEKER BLVD, SUN CITY WEST, AZ 85375-5282
(623) 524-8814
Mailing address
14502 W MEEKER BLVD, SUN CITY WEST, AZ 85375-5282
(623) 524-8814
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
276270
NY
208M00000X
Hospitalist Physician
Primary
51232
AZ
208M00000X
Hospitalist Physician
7811
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6006483
—
SD
Enumeration date
01/20/2009
Last updated
04/12/2024
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