Individual
DR. RAJASHAKHER P REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
560 BLUE HERON WAY, ALPHARETTA, GA 30004-2770
(404) 692-3493
Mailing address
11675 GREAT OAKS WAY STE 150, ALPHARETTA, GA 30022-2497
(866) 300-8512
(800) 613-8386
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
041934
GA
2085N0904X
Nuclear Radiology Physician
041934
GA
2085R0202X
Diagnostic Radiology Physician
Primary
041934
GA
2085U0001X
Diagnostic Ultrasound Physician
041934
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000710091T
—
GA
Enumeration date
12/21/2005
Last updated
10/02/2021
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