Individual
DR. KRISHNA K REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
437 DENISON ST, CONWAY, AR 72034-6127
(501) 327-1325
(501) 327-1328
Mailing address
437 DENISON ST, CONWAY, AR 72034-6127
(501) 327-1325
(501) 327-1328
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R3046
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0420244
UNITED HEALTHCARE
AR
01
—
060000204
RAILROAD MEDICARE
AR
05
—
106214001
—
AR
01
—
54277
BLUECROSS BLUE SHIELD
AR
01
—
71024973572031019
CHAMPUS
AR
01
—
770163401
MEDICAID BREAST CARE
AR
Enumeration date
10/18/2005
Last updated
03/10/2010
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