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Contact Information

ANIL K REDDY, MD
9725 EAST 79TH STREET
SUIT A
TULSA, OK74133-4569
 Phone: 918-252-0112
 Fax: 918-252-0103
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for ANIL K REDDY · (Male)

NPI Number 1003981135
Status Active
Credentials MD
Entity Individual
Enumeration date 11/22/2006
Last updated 02/19/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • OK License # 21535
  • OK Medicaid 100010230B
  • OK Medicaid 200216530A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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