Individual
DR. BOLLAM N. REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
114 E WALNUT ST, HILL CITY, KS 67642-1722
(785) 421-2191
(785) 421-2195
Mailing address
114 E WALNUT ST, HILL CITY, KS 67642-1722
(785) 421-2191
(785) 421-2195
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-16530
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100083440C
—
KS
01
—
111305
MEDICARE
—
Enumeration date
09/26/2006
Last updated
03/06/2012
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