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Individual

DR. MAHENDER REDDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3970 DEPUTY BILL CANTRELL MEM, CUMMING, GA 30040-3069
(678) 513-2273
(678) 513-8869
Mailing address
3970 DEPUTY BILL CANTRELL MEM STE 100, CUMMING, GA 30040-3069
(678) 513-2273
(678) 513-8869

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
6486
AL
207RC0000X
Cardiovascular Disease Physician
Primary
83848
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
051512621
AL
Enumeration date
04/19/2006
Last updated
12/27/2023
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