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NPI Code Detail

MEDICARE: PRANAHITHA T REDDY MD

MEDICARE: PRANAHITHA T REDDY MD
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
12084P0800XPsychiatry Physician04-23795KS
22084P0800XPsychiatry PhysicianR5N40MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1A042OTHERTRICARE
217527037OTHERKSBCBS OF KANSAS CITY

General Provider Information

NPI Number : 1215979281
Entity Type Code : Individual
Provider Name (Legal Business Name) : PRANAHITHA T REDDY MD
Provider Business Mailing Address
First Line : 17844 E 23RD ST S
Second Line :
City : INDEPENDENCE
State : MO
Zip : 64057-1840
Country : US
Telephone Number : 816-836-6705
Fax Number : 816-257-2575
Provider Business Practice Location Address
First Line : 17844 E 23RD ST S
Second Line :
City : INDEPENDENCE
State : MO
Zip : 64057-1840
Country : US
Telephone Number : 816-254-3652
Fax Number : 816-254-9243
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2006
Last Update Date : 05/21/2025

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Directions to “ PRANAHITHA T REDDY MD” Practice Location

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