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Dr. Praveen Jada Kumar Reddy, MD
Hematology & Oncology Physician in Wichita Falls, Texas
NPI 1316988090

Praveen Jada Kumar Reddy is a Hematology & Oncology Physician based in Dallas, TX and is specialized in Hematology & Oncology. Praveen Jada Kumar Reddy practices in Wichita Falls, TX and has the professional credentials of MD. The NPI Number for Praveen Jada Kumar Reddy is 1316988090 and holds a License No. L9444 (Texas).

The current practice location address for Praveen Jada Kumar Reddy is 5400 Kell West Blvd, Wichita Falls, TX and can be reached out via phone at 940-691-8271 and via fax at 940-692-2042. You can also correspond with Praveen Jada Kumar Reddy through the mailing address at PO BOX 911230, DALLAS, TX - 75391-1230 (mailing address contact number: 972-997-8000).

Location: 5400 Kell West Blvd, Wichita Falls, TX, 75391-1230
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316988090
Provider Name
Praveen Jada Kumar Reddy
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
5400 Kell West Blvd, Wichita Falls, TX, 75391-1230
Phone Number
940-691-8271
Fax Number
940-692-2042
Provider Enumeration Date
06/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8R1532 01 TX BLUE CROSS OF TEXAS
168416901 05 TX
168416902 05 TX
200042170A 05 OK
institution
Provider Business Practice Location Address Details
Address
5400 Kell West Blvd
City
Wichita Falls
State
Texas
Zip
76310-1610
Phone Number
940-691-8271
Fax Number
940-692-2042
person
Provider Business Mailing Address Details
Address
5400 Kell West Blvd
City
Wichita Falls
State
Texas
Zip
76310-1610
Phone Number
940-691-8271
Fax Number
940-692-2042
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
L9444 (Texas)
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.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Medical Oncology
Taxonomy
207RX0202X
License No.
L9444 (Texas)
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
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