Provider Demographics
NPI:1659543700
Name:KARUTURI-REDDY, KRISHNA KUMARI (MD)
Entity Type:Individual
Prefix:
First Name:KRISHNA
Middle Name:KUMARI
Last Name:KARUTURI-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 1:3805 E BELL RD
Mailing Address - Street 2:SUITE 5100
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85032-2105
Mailing Address - Country:US
Mailing Address - Phone:602-923-7730
Mailing Address - Fax:602-923-7833
Practice Address - Street 1:3805 E BELL RD
Practice Address - Street 2:SUITE 5100
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85032-2105
Practice Address - Country:US
Practice Address - Phone:602-923-7730
Practice Address - Fax:602-923-7833
Is Sole Proprietor?:No
Enumeration Date:2008-03-28
Last Update Date:2012-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ38060208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics