Individual
DR. KIRAN REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7391 W CHARLESTON BLVD, SUITE 140, LAS VEGAS, NV 89117-1501
(702) 304-2144
(702) 304-2147
Mailing address
7391 W CHARLESTON BLVD, SUITE 140, LAS VEGAS, NV 89117-1501
(702) 304-2144
(702) 304-2147
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
13355
ND
207R00000X
Internal Medicine Physician
Primary
16012
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
81033
—
ND
Enumeration date
06/23/2014
Last updated
10/28/2015
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