Individual
DR. VUNDYALA V REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
308 COLISEUM DR, SUITE 120, MACON, GA 31217-3808
(478) 745-6130
(478) 750-5899
Mailing address
1835 SAVOY DR, SUITE 300, ATLANTA, GA 30341-1072
(478) 745-6130
(478) 745-4443
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
025022
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000346013H
—
GA
05
—
000346013I
—
GA
Enumeration date
01/04/2006
Last updated
08/25/2020
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