Individual
DR. KRISHNA KISHORE REDDY EDUNURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H.
Contact information
Practice address
1635 N GEORGE MASON DR STE 155, ARLINGTON, VA 22205-3604
(703) 717-7652
(703) 717-7654
Mailing address
4602 DEPT, CAROL STREAM, IL 60122-0021
(906) 225-4821
(906) 225-4537
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301092409
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841458106
—
MI
Enumeration date
05/22/2008
Last updated
07/14/2021
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