Individual provider · NPI-1

Vamsikalyan Reddy Reddy Borra, M.B.B.S

Internal Medicine · Pikeville, KY

NPI number1194464339
StatusActive
Last updated in NPPESJun 29, 2025

Details

NPI
1194464339
Entity type
Individual (NPI-1)
Name
Vamsikalyan Reddy Reddy Borra
Credential
M.B.B.S
Sex
Male
Sole proprietor
No
Enumeration date
Jun 3, 2022
Certification date
Jun 29, 2025
Last updated
Jun 29, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine60900KYYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

911 Bypass Rd
Pikeville, KY 41501-1602

Phone 606-430-3500

Mailing address

911 Bypass Rd
Pikeville, KY 41501-1602

Phone 606-430-3500

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