Individual
KOTA R REDDY
Active
Individual
KOTA R REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
046479
GA
207RC0000X
Cardiovascular Disease Physician
Primary
046479
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000809168B
—
GA
05
—
000809168C
—
GA
05
—
000809168D
—
GA
01
—
1609816123
GEORGIA CLINIC PC NPI # FOR GROUP
GA
Enumeration date
06/02/2006
Last updated
05/05/2016
Update your record
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