Individual
ASWANTH REDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7001 ROGERS AVE STE 200, FORT SMITH, AR 72903-4022
(860) 679-4410
Mailing address
7001 ROGERS AVE STE 200, FORT SMITH, AR 72903-4022
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
255845
MA
207RH0003X
Hematology & Oncology Physician
Primary
E-12889
AR
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
07/02/2013
Last updated
08/10/2020
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