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NPI Code Detail

MEDICARE: CHANDRIKA REDDY

MEDICARE: CHANDRIKA REDDY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RE0101XEndocrinology, Diabetes & Metabolism Physician8540NE
2390200000XStudent in an Organized Health Care Education/Training ProgramNY
3207RE0101XEndocrinology, Diabetes & Metabolism Physician2021023212MO

General Provider Information

NPI Number : 1164884896
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHANDRIKA REDDY
Provider Business Mailing Address
First Line : 4321 WASHINGTON ST STE 6100
Second Line :
City : KANSAS CITY
State : MO
Zip : 64111-5901
Country : US
Telephone Number : 816-932-3470
Fax Number : 816-932-3437
Provider Business Practice Location Address
First Line : 4321 WASHINGTON ST STE 6100
Second Line :
City : KANSAS CITY
State : MO
Zip : 64111-5901
Country : US
Telephone Number : 816-932-3470
Fax Number : 816-932-3437
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2016
Last Update Date : 09/17/2021

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Directions to “ CHANDRIKA REDDY ” Practice Location

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