Individual
DR. SURYAKUMAR REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
929 N SAINT FRANCIS ST, WICHITA, KS 67214-3821
(316) 268-5000
Mailing address
PO BOX 645, WICHITA, KS 67201-0645
(913) 689-5050
(913) 689-6192
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
04-30190
KS
2085N0700X
Neuroradiology Physician
04-30190
KS
2085N0904X
Nuclear Radiology Physician
04-30190
KS
2085P0229X
Pediatric Radiology Physician
04-30190
KS
2085R0202X
Diagnostic Radiology Physician
04-30190
KS
2085R0203X
Therapeutic Radiology Physician
04-30190
KS
2085R0204X
Vascular & Interventional Radiology Physician
Primary
04-30190
KS
2085U0001X
Diagnostic Ultrasound Physician
04-30190
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100454080B
—
KS
Enumeration date
11/22/2005
Last updated
03/07/2018
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