Individual
DR. KIRAN KUMAR REDDY BUSIREDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
601 N 30TH ST, OMAHA, NE 68131-2128
(402) 449-4000
Mailing address
2665 HOWARD CMNS, APT 13, HOWARD, WI 54313-9379
(253) 397-9411
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
76426-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
TN
Other
Enumeration date
05/14/2015
Last updated
03/05/2022
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