Individual
DR. KURAPATI BHASKAR REDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, DPM
Contact information
Practice address
517 COURT ST RM 503, NEILLSVILLE, WI 54456-1976
(715) 743-5192
(715) 743-5209
Mailing address
402 SOUTHWOOD CT, EAU CLAIRE, WI 54701-5900
(715) 834-2751
(715) 743-5209
Taxonomy
Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary
1166
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30565600
—
WI
Enumeration date
07/13/2006
Last updated
07/08/2007
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