Most Relevant Information
Provider Data
| NPI Number: | 1003349820 |
| Provider Name: | KANUBODDU NAGARJUNA REDDY |
| Entity Type: | Individual |
| Taxonomy Code: | 207R00000X |
| Specialty: | Internal Medicine |
| License Number: | ME143491 |
Most Important Dates
| Enumeration Date: | 04/08/2017 |
| Last Updated: | 12/15/2022 |
Provider Practice Location
700 NE 87TH AVE STE 220
VANCOUVER
WA
986644896
Practice Location Phone/Fax
| Phone: | 3608822778 |
| Fax: |
Provider Mailing Location
700 NE 87TH AVE
VANCOUVER
WA
986644896
Provider Mailing Phone/Fax
| Phone: | 3608822778 |
| Fax: |
Suggested EMR
Internist EMR