Individual provider · Type 1 NPI
Gautham Reddy Kandukuri, MD
Vascular & Interventional Radiology Physician · Reedsport, OR
NPI number
1174979462
Active
Practice location
PO Box 343
Reedsport, OR 97467-0343
Mailing address
2301 Holmes Street
Kansas City, MO 64108
Other practice locations
- 1775 Thompson Rd, Coos Bay, OR 97420-2198 · (541) 269-8111
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | 14217294-1205 (UT) |
| Vascular & Interventional Radiology Physician Primary | 2085R0204X | MD211277 (OR) |
Vascular & Interventional Radiology Physician: A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
About NPI 1174979462
Gautham Reddy Kandukuri, MD's National Provider Identifier is 1174979462, issued on May 5, 2016. The primary taxonomy on file is Vascular & Interventional Radiology Physician (2085R0204X), and the practice location is in Reedsport, OR. The record was last updated on May 15, 2025.