Individual
AGARA S REDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1705 EAST BROADWAY, SUITE 200, COLUMBIA, MO 65201
(573) 875-7889
(573) 875-0149
Mailing address
1705 EAST BROADWAY, SUITE 200, COLUMBIA, MO 65201
(573) 875-7889
(573) 875-0149
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MOR1K15
MO
2084P0800X
Psychiatry Physician
R1K15
MO
Other
Enumeration date
10/10/2006
Last updated
11/02/2007
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