Individual
KARUNA DYAPA REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
303A SHIRLEY AVE, DOUGLAS, GA 31533-2333
(912) 383-8806
(912) 383-8147
Mailing address
303A SHIRLEY AVE, DOUGLAS, GA 31533-2333
(912) 383-8806
(912) 383-8147
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
029519
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000399814H
—
GA
01
—
10057593
AMERIGROUP MEDICAID
GA
01
—
260049820
RAILROAD MEDICARE
—
Enumeration date
05/27/2005
Last updated
04/12/2023
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