Individual
DR. SUNEAL REDDY JANNAPUREDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2701 N DECATUR RD, DECATUR, GA 30033-5918
(404) 501-5256
Mailing address
PO BOX 1457, BLUEFIELD, WV 24701-1457
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
64111
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
GA
Enumeration date
01/08/2008
Last updated
05/05/2011
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