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Individual

LANKALA RAJENDRA REDDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
150 MEDICAL BLVD, STE B, STOCKBRIDGE, GA 30281-5053
(770) 389-9944
(770) 389-1973
Mailing address
150 MEDICAL BLVD, STE B, STOCKBRIDGE, GA 30281-5053
(770) 389-9944
(770) 389-1973

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
047648
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1200384
UNITED HEALTHCARE
01
2335725
AETNA SELECT US HEALTHC
01
581487734
PROMINA CLAIMS
01
7483096
AETNA
01
782949
BCBS
01
8563
KAISER
Enumeration date
08/09/2005
Last updated
09/30/2011
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