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Individual

KRISHNA THEJA KAKARLA REDDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5880 UNIVERSITY AVE STE 102, WEST DES MOINES, IA 50266-8209
(515) 633-3600
(515) 288-0840
Mailing address
PO BOX 677080, DALLAS, TX 75267-7080
(515) 633-3600
(515) 633-3838

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A177851
CA
207RC0000X
Cardiovascular Disease Physician
Primary
MD-55008
IA

Other

Enumeration date
04/02/2019
Last updated
11/23/2025
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