Individual
DR. SUBBA REDDY VANGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1412 MILSTEAD AVE NE, CONYERS, GA 30012-3877
(404) 605-2800
Mailing address
1412 MILSTEAD AVE NE, CONYERS, GA 30012-3877
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
080999
GA
207RI0011X
Interventional Cardiology Physician
Primary
080999
GA
Other
Enumeration date
07/31/2008
Last updated
05/27/2021
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