Individual
DR. NITYA M REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBBS
Contact information
Practice address
725 JESSE JEWELL PKWY SE, GAINESVILLE, GA 30501-3834
(770) 535-0191
(770) 535-0916
Mailing address
PO BOX 658, GAINESVILLE, GA 30503-0658
(770) 718-1122
(770) 535-7445
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
000485
GA
208M00000X
Hospitalist Physician
061151
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01310558
AMERIGROUP
GA
01
—
3422646
CIGNA
GA
01
—
515470
WELLCARE
GA
01
—
52318303
BCBS
GA
05
—
531391441A
—
GA
Enumeration date
05/03/2007
Last updated
03/07/2019
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