Individual
PRADEEP REDDY KUMBHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7301 ROGERS AVE, FORT SMITH, AR 72903-4100
(479) 314-5175
(479) 314-3185
Mailing address
7301 ROGERS AVE, FORT SMITH, AR 72903-4100
(479) 314-5175
(479) 314-3185
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
E-11390
AR
Other
Enumeration date
06/27/2014
Last updated
03/14/2022
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