Individual
DR. BHAGAT K. REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14244 HIGHWAY 515 N STE 100, ELLIJAY, GA 30536-2029
(404) 996-6596
Mailing address
6105 PEACHTREE DUNWOODY RD STE A150, ATLANTA, GA 30328-5944
(404) 996-6596
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
055012
GA
207RI0011X
Interventional Cardiology Physician
Primary
055012
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
983326893AM
—
GA
05
—
983326893FGNOPQRS
—
GA
Enumeration date
06/16/2005
Last updated
11/06/2023
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