Individual
VINEET GURRAM REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
120 STONEBRIDGE PKWY STE 320, WOODSTOCK, GA 30189
(770) 422-1372
Mailing address
120 STONEBRIDGE PKWY STE 320, WOODSTOCK, GA 30189-3769
(770) 422-1372
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
280511
NY
207RP1001X
Pulmonary Disease Physician
Primary
83540
GA
390200000X
Student in an Organized Health Care Education/Training Program
280511
NY
Other
Enumeration date
06/01/2012
Last updated
08/07/2019
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