Individual
ADITHYA A REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2550 WINDY HILL RD SE, SUITE 215, MARIETTA, GA 30067-8665
(770) 850-8464
(770) 850-9727
Mailing address
2550 WINDY HILL RD SE, SUITE 215, MARIETTA, GA 30067-8665
(770) 850-8464
(770) 850-9727
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
2008018933
MO
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
61509
GA
208VP0000X
Pain Medicine Physician
Primary
61509
GA
208VP0014X
Interventional Pain Medicine Physician
61509
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003101094B
—
GA
05
—
003101094C
—
GA
05
—
003101094D
—
GA
05
—
003101094E
—
GA
05
—
003101094F
—
GA
05
—
003101094G
—
GA
05
—
003101094H
—
GA
01
—
586088
BCBS
—
Enumeration date
06/25/2008
Last updated
03/24/2015
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