Provider Demographics
NPI:1518937127
Name:REDDY, KURAPARTI N (MD)
Entity Type:Individual
Prefix:
First Name:KURAPARTI
Middle Name:N
Last Name:REDDY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4157
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79704-4157
Mailing Address - Country:US
Mailing Address - Phone:432-699-0952
Mailing Address - Fax:432-520-2723
Practice Address - Street 1:2706 W CUTHBERT
Practice Address - Street 2:BUILDING B SUITE 100
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79701
Practice Address - Country:US
Practice Address - Phone:432-699-0952
Practice Address - Fax:432-520-2723
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-25
Last Update Date:2011-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG0806207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX115695202Medicaid
D67586Medicare UPIN
TX00PL25Medicare ID - Type Unspecified