Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shravan Kumar Reddy Gangula, MD

Individual provider Family Medicine Physician · NPI 1437463593

Shravan Kumar Reddy Gangula, MD is a Family Practice in Coffeyville, Kansas. Qualified in 2007, 19 years ago. Practices with Coffeyville Regional Medical Center, Inc, a 22-clinician group and accepts Medicare assignment. Licensed in Kansas and Oklahoma.

Years since qualifying
19
Licensed in
KS, OK
In the registry since
2010
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1400 W 4th St
Coffeyville, KS 67337-3306
Phone: (620) 688-6566
Fax: (620) 688-6577
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 0436385 (KS)
Family Medicine Physician Taxonomy 207Q00000X · Licence 27717 (OK)

Record details

NPI number1437463593
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 31, 2010
Last updated in NPPESDecember 15, 2017
Mailing address8337 E 81st St Apt 1237, Tulsa, OK 74133-8088

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Coffeyville Regional Medical Center, Inc. — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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