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1174979462
GAUTHAM REDDY KANDUKURI
REEDSPORT, OR
NPI
1174979462
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0204X Radiology, Vascular & Interventional Radiology
(Licence: OR MD211277)
Enumeration Date
2016-05-05
Last Update Date
2024-12-12
Business Address
Mr. GAUTHAM REDDY KANDUKURI M.D.
PO BOX 343
REEDSPORT, OR 97467-0343
Phone number: 816-800-9020
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Mailing Address
Mr. GAUTHAM REDDY KANDUKURI M.D.
2301 HOLMES STREET
KANSAS CITY, MO 64108
Phone number: 816-404-4175
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