Individual
DIVYA RAVINDRA REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-9442
Mailing address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-9442
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
00009174
GA
2080P0210X
Pediatric Nephrology Physician
Primary
V3946
TX
Other
Enumeration date
06/06/2017
Last updated
03/13/2025
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