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

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

Other providers in Coffeyville