Individual
DR. SIDHARTH V. REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1975 HIGHWAY 54 W, SUITE 205, PEACHTREE CITY, GA 30269-4794
(678) 561-9000
(770) 487-1232
Mailing address
1975 HIGHWAY 54 W, SUITE 205, PEACHTREE CITY, GA 30269-4794
(678) 561-9000
(770) 487-1232
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
608
NC
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD001243
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003154632A
—
GA
05
—
003154632C
—
GA
05
—
003154632D
—
GA
01
—
202I480208
MEDICARE PTAN
GA
Enumeration date
01/15/2014
Last updated
12/03/2015
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