Individual
DR. PRATHIMA LANKALA REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1019 ASTOR AVE, FOREST PARK, GA 30297-3532
(404) 366-9311
(404) 366-1250
Mailing address
2727 PACES FERRY RD SE STE 1-1100, ATLANTA, GA 30339-6151
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
047649
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000901788A
—
GA
Enumeration date
01/03/2007
Last updated
09/03/2019
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