Individual
RAVINDER BAIMEEDI REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
150 GENTILLY BLVD, CARTERSVILLE, GA 30120-8522
(770) 606-8359
(770) 382-5762
Mailing address
1825 MARTHA BERRY BLVD NW, ROME, GA 30165-1625
(706) 295-5331
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
063435
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
057540512A
—
GA
05
—
057540512B
—
GA
05
—
057540512C
—
GA
05
—
057540512D
—
GA
Enumeration date
07/12/2006
Last updated
05/20/2010
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