Individual provider · Type 1 NPI

Sri Charan Reddy Kanthala, MD

Student in an Organized Health Care Education/Training Program · Indianapolis, IN

NPI number 1033957006 Active

Practice location

3188 Bellevue Avenue, ML0781
Indianapolis, IN 46202-3082

Call (513) 584-4505 Map

Fax (513) 584-0468

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1033957006

Sri Charan Reddy Kanthala, MD's National Provider Identifier is 1033957006, issued on Jul 16, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Indianapolis, IN. The record was last updated on Jun 19, 2026.