Individual
DR. MADHURI REDDYNAGA MEKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
711 CANTON RD NE STE 300, MARIETTA, GA 30060
(678) 741-5000
(678) 819-4280
Mailing address
711 CANTON RD NE STE 300, MARIETTA, GA 30060-8949
(678) 741-5000
(678) 819-4280
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
134717
NC
207RG0100X
Gastroenterology Physician
Primary
062504
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20I103275
PTAN MEDICARE
GA
05
—
808197072H
—
GA
Enumeration date
04/23/2008
Last updated
05/31/2018
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