Individual
CHEEPULOTI HANUMANTHA REDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
189 WHIPOORWILL DR, RUSSELLVILLE, KY 42276-9777
(270) 726-4488
Mailing address
189 WHIPOORWILL DR, RUSSELLVILLE, KY 42276-9777
(270) 726-4488
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
30421
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64304215
—
KY
Enumeration date
12/26/2006
Last updated
07/09/2007
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