Individual
DR. GAUTHAM P REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2135 N COLLECTIVE LN, WICHITA, KS 67206-3560
(316) 261-3220
(316) 261-3298
Mailing address
2135 N COLLECTIVE LN, WICHITA, KS 67206-3560
(316) 261-3220
(316) 261-3298
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
04-29594
KS
2084N0400X
Neurology Physician
Primary
04-29594
KS
Other
Enumeration date
06/17/2005
Last updated
04/13/2021
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