Individual
DR. ASHOK KUMAR REDDY CHADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
2003 S 7TH ST, HICKMAN, KY 42050-1841
(270) 236-3202
(270) 236-9597
Mailing address
2003 S 7TH ST, HICKMAN, KY 42050-1841
(270) 236-3202
(270) 236-9597
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
TP945
KY
208600000X
Surgery Physician
2009034796
MO
208D00000X
General Practice Physician
048023
CT
208D00000X
General Practice Physician
254349
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000644520
BCBS KY ANTHEM
KY
05
—
7100100830
—
KY
Enumeration date
08/27/2009
Last updated
02/22/2012
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