Individual
DR. JAYALAKSHMI REEDY KALATHOOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3000 HOSPITAL BLVD, ROSWELL, GA 30076-4915
(770) 751-2623
(770) 751-2627
Mailing address
PO BOX 116171, ATLANTA, GA 30368-6171
(800) 919-1190
(706) 737-2272
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
019708
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00388083
RAILROAD MEDICARE
GA
Enumeration date
05/10/2006
Last updated
10/15/2007
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