Organization
YOUR HOSPITALIST TEAM LLC
Active
Other names
Dr. Reddy's Long Term Care
Organization subpart
No
Provider details
NPI number
Authorized official
KISHORE R RASAMALLU MD (PHYSICIAN)
(210) 379-8553
Entity
Organization
Contact information
Practice address
2215 AUTUMN RIDGE LN, CUMMING, GA 30041-1358
(210) 379-8553
Mailing address
2215 AUTUMN RIDGE LN, CUMMING, GA 30041-1358
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208M00000X
Hospitalist Physician
—
—
Other
Enumeration date
06/24/2019
Last updated
06/24/2019
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