Individual
DR. AVINASH GOLLAKISTAGARI REDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1301 SUNSET DR, SUITE 3, JOHNSON CITY, TN 37604-7906
(423) 926-4966
Mailing address
1301 SUNSET DR, SUITE 3, JOHNSON CITY, TN 37604-7906
(423) 926-4966
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
5101015618
MI
Other
Enumeration date
06/12/2007
Last updated
10/31/2018
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