Individual
DR. DYAPA S REDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
303B SHIRLEY AVE, DOUGLAS, GA 31533-2333
(912) 384-2474
(912) 384-4995
Mailing address
303B SHIRLEY AVE, DOUGLAS, GA 31533-2333
(912) 384-2474
(912) 384-4995
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
028307
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000326334A
—
GA
01
—
028307
MEDICAL LICENSE
GA
Enumeration date
07/12/2005
Last updated
05/15/2015
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