Individual
KIRAN REDDY KANCHARLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2021 N MACARTHUR BLVD STE 400, IRVING, TX 75061-2226
(972) 256-3537
(972) 255-7916
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 234-2987
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
L2959
TX
207RX0202X
Medical Oncology Physician
L2959
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150452402
—
TX
05
—
150452407
—
TX
05
—
150452408
—
TX
Enumeration date
10/14/2005
Last updated
04/12/2022
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