Individual
SUDHA DHARMAREDDI REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
750 TOWN PARK LANE, KAISER PERMANENTE TOWN PARK MEDICAL CENTER, KENNESAW, GA 30144
(770) 514-5464
Mailing address
3495 PIEDMONT ROAD, NE, NINE PIEDMONT CENTER, ATLANTA, GA 30305
(404) 364-7070
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
053871
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
310618202B
—
GA
Enumeration date
09/22/2006
Last updated
09/19/2013
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