# RIKA MEDICAL CLINIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861526626
- **Authorized official:** MR. RAVI REDDY (OWNER)
- **Authorized official phone:** (770) 934-5994

## Contact information

- **Practice address:** 2157 ILEWOOD ROAD, SUITE B, TUCKER, GA 30084
- **Practice address phone:** (770) 934-5994
- **Practice address fax:** (770) 908-0094
- **Mailing address:** 2157 ILEWOOD ROAD, SUITE B, TUCKER, GA 30084
- **Mailing address phone:** (770) 934-5994
- **Mailing address fax:** (770) 908-0094

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 058617 | GA | Yes |

## Other

- **Enumeration date:** 03/15/2007
- **Last updated:** 08/22/2020