Individual
MR. CHANDRA MOHAN REDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
440 EAST HAPPY VALLEY ST., CAVE CITY, KY 42127-8844
(270) 773-2121
(270) 773-2120
Mailing address
793 STEEPLECHASE RD, GLASGOW, KY 42141
(270) 678-5365
(270) 678-3996
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
32087
KY
207R00000X
Internal Medicine Physician
Primary
32087
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64320872
—
KY
Enumeration date
02/15/2006
Last updated
01/07/2009
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