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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHRAVAN KUMAR REDDY GANGULA, M.D

Active

SHRAVAN KUMAR REDDY GANGULA, M.D is a Family Medicine healthcare provider located in COFFEYVILLE, Kansas. NPI 1437463593 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · COFFEYVILLE, KS

Registration Details

NPI Number
1437463593
Provider Type
Individual
Gender
Male
NPI Issued
Jul 31, 2010 (16.022713300687 yrs)
Last Updated
Dec 15, 2017
Licenses
27717 (OK)
0436385 (KS)

Practice Information

Address
1400 W 4TH ST
COFFEYVILLE, KS, 673373306
Browse KS providers · Browse ZIP 67337
Phone
6206886566
Fax
6206886577
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine

Other Family Medicine Providers in COFFEYVILLE, KS

Name Credential NPI
DR. ALLEN DEAN GILLIS D.O. 1699753830
DR. JAMES LEROY CHRISTENSEN D.O. 1447238688
ANN RENEE TAYLOR DO 1467430454
MRS. MEGGIN MARIE BLEX A.R.N.P. 1467412940
DR. JAMES M CARVER MD 1265499511
GEETA SANDHU M.D. 1538271135
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.