PAVAN S REDDY


Address: 818 N Emporia St, Suite 403, Wichita, KS 67214-3729
Phone: 3162624467

PAVAN S REDDY (NPI# 1932161155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932161155
Entity Type Individual
Full Name PAVAN S REDDY
Credential M.D.
Practice Address 818 N Emporia St
Suite 403
Wichita
KS 67214-3729
Practice Telephone 3162624467
Practice Fax Number 3162620706
Mailing Telephone 3162624467
Mailing Fax Number 3162622304
Enumeration Date 2006-04-04
Last Update Date 2011-09-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
0429403 KS Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
KS DMERC REGION 1 1286700004 01
KS DMERC REGION 1 12867010010 01
KS DMERC REGION 1 1286700005 01
KS DMERC REGION 1 1286700009 01
KS 100403380C 05
KS DMERC REGION 1 1286700011 01
KS DMERC REGION 1 1286700002 01
KS DMERC REGION 1 1286700006 01
KS DMERC REGION 1 1286700007 01
KS DMERC REGION 1 1286700013 01
KS DMERC REGION 1 1286700003 01
KS DMERC REGION 1 1286700008 01
KS DMERC REGION 1 1286700012 01
KS DMERC REGION 1 1286700015 01

Other Providers PAVAN REDDY

NPI Name Taxonomy Address Enumeration
1689024945 Pavan G Reddy Surgery 1801 Sunset Drive, General Surgery Department, Columbia, SC 29203 2016-06-17
1457748840 Pavan Reddy Student in an Organized Health Care Education/Training Program 1200 N State St, Los Angeles, CA 90033-1029 2015-04-23
1558447425 Pavan R Reddy Internal Medicine 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 2006-10-31
1659329084 Pavan Garlapaty Reddy Otolaryngology 14500 Northline Rd, Southgate, MI 48195-2402 2006-05-05
1720042286 Pavan Reddy Psychiatry & Neurology 1970 Roanoke Blvd, Salem, VA 24153-6404 2006-04-13

Office Location

Street Address 818 N EMPORIA ST
SUITE 403
City WICHITA
State KS
Zip Code 67214-3729

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033116835 Duane L Osborne Surgery 818 N Emporia St, Suite 200, Wichita, KS 67214-3729 2005-07-07
1053727800 Tracy D Smith Nurse Practitioner 818 N Emporia St, Suite 310, Wichita, KS 67214-3729 2014-07-01
1336401082 Aaron Nilhas Surgery 818 N Emporia St, Suite 200, Wichita, KS 67214-3729 2012-06-08
1205164282 Bernard T. Poole, Md, Pa Orthopaedic Surgery 818 N Emporia St, Suite 107, Wichita, KS 67214-3729 2009-12-02
1679704845 Julianna M Bergkamp Nurse Practitioner 818 N Emporia St, Suite 403, Wichita, KS 67214-3729 2009-08-05
1609004316 Amanda M Valliant Internal Medicine 818 N Emporia St, Suite 310, Wichita, KS 67214-3729 2009-07-01
1730320367 Kathy Ornelas Specialist/Technologist, Other 818 N Emporia St, Suite 200, Wichita, KS 67214-3729 2009-03-11
1437316387 Ronnie K Moussa Internal Medicine 818 N Emporia St, Suite 310, Wichita, KS 67214-3729 2008-05-19
1104025949 Wissam Saliba Internal Medicine 818 N Emporia St, Wichita, KS 67214-3729 2007-07-12
1528263043 Jeremy Deutsch Internal Medicine 818 N Emporia St, Suite 403, Wichita, KS 67214-3729 2007-06-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124591185 Laquita Patrice Boyede Durable Medical Equipment & Medical Supplies 1503 Northeast Parkway, Wichita, KS 67214 2019-01-02
1891270674 Kathryn Denise Boomer Physician Assistant 929 St. Francis N, Wichita, KS 67214 2018-09-27
1447756457 Cardinal Health 132 LLC Pharmacy 527 N Grove Street, Suite 100, Wichita, KS 67214 2018-03-30
1023517174 Laboratory Corporation of America Holdings Clinical Medical Laboratory 3243 E Murdock Street, Level G, Wichita, KS 67214 2018-02-05
1558887901 Shonnetta Lachan Gabriel Counselor 2707 E. 21st St. N, Wichita, KS 67214 2017-08-17
1417492174 Walgreen Co Durable Medical Equipment & Medical Supplies 803 N Broadway Ave, Wichita, KS 67214 2017-01-04
1952850653 Rachel J Johnson Counselor 805 N Volutsia, Wichita, KS 67214 2016-09-23
1063899813 Christy Lee Foos Social Worker 2707 E. 21st St. North, Healthcore Clinic, Wichita, KS 67214 2015-04-30
1952708018 William Schroeder Fargo Specialist 701 N. Emporia, Wichita, KS 67214 2014-12-04
1447692710 Valeriya V Hunter Dentist 527 N Grove, Wichita, KS 67214 2013-07-26
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Taxonomy Information

Taxonomy Code 207RH0003X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology & Oncology

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598916769 Cancer Center of Kansas, P.a. Internal Medicine 817 N. Emporia, Wichita, KS 67214-3709 2008-10-07
1184862732 Cancer Center of Kansas, P.a. Internal Medicine 550 N Hillside St, Critical Care Center, Wichita, KS 67214-4910 2009-02-04
1821249137 Cancer Center of Kansas, P.a. Internal Medicine 3243 E. Murdock, Suite 300, Wichita, KS 67208-3006 2008-10-06
1518974948 Seth Joel Page Internal Medicine 3243 E Murdock St, Suite 300, Wichita, KS 67208-3052 2006-08-01
1558323758 Phu V Truong Internal Medicine 3243 E Murdock St, Suite 300, Wichita, KS 67208-3052 2006-04-04
1982666236 Michael W Cannon Internal Medicine 818 N Emporia St, Suite 403, Wichita, KS 67214-3729 2006-04-03
1043272305 Dennis F Moore Jr. Internal Medicine 818 N Emporia St, Suite 403, Wichita, KS 67214-3729 2006-04-03
1417918079 Shaker R Dakhil Internal Medicine 818 N Emporia St, Suite 403, Wichita, KS 67214-3729 2006-03-31
1053372649 Bassam I Mattar Internal Medicine 818 N Emporia St, Suite 403, Wichita, KS 67214-3729 2006-03-31
1528029147 Nassim H Nabbout Internal Medicine 3243 E Murdock St, Suite 300, Wichita, KS 67208-3052 2006-03-31
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Competitor

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City WICHITA
Zip Code 67214

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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