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Gautham Kandukuri, M.D. — NPI 1174979462, Reedsport, OR | NPI Central

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NPI 1174979462

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Gautham Kandukuri, M.D.

NPI 1174979462 · Vascular & Interventional Radiology Physician · Reedsport, OR

Provider details

NPI number: 1174979462
Entity type: Individual
Primary specialty: Vascular & Interventional Radiology PhysicianAllopathic & Osteopathic Physicians
Credential: M.D.
Sex: Male
Sole proprietor: No
License: 14217294-1205 (UT)

Specialties & taxonomies

Vascular & Interventional Radiology PhysicianPrimary2085R0204XLicense MD211277 (OR)
Allopathic & Osteopathic Physicians
Vascular & Interventional Radiology Physician2085R0204XLicense 14217294-1205 (UT)
Allopathic & Osteopathic Physicians

Practice location

Po Box 343

Reedsport, OR 97467-0343

Phone: (816) 800-9020

Approximate (ZIP-level) locationGet directions

More OR providers

Mailing address

2301 Holmes Street

Kansas City, MO 64108

Additional practice locations (1)

1775 Thompson Rd
Coos Bay, OR 97420-2198
Phone: (541) 269-8111
Fax: (541) 269-8517

Registry dates

Enumerated: 2016-05-05
Last updated: 2025-05-15
Certified: 2025-05-15

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.