Individual
DR. BHASKAR REDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
960 SANDERS RD STE 700, CUMMING, GA 30041-6058
(770) 887-3255
(770) 887-4177
Mailing address
960 SANDERS RD STE 700, CUMMING, GA 30041-6058
(770) 887-3255
(770) 887-4177
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
055440
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
774380303B
—
GA
Enumeration date
08/05/2006
Last updated
06/13/2024
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