Individual
SAMATA KAMIREDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1605 CHANTILLY DR NE, ATLANTA, GA 30324-3267
(404) 778-3261
Mailing address
1605 CHANTILLY DR NE, ATLANTA, GA 30324-3267
(404) 778-3261
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
0101262347
VA
207K00000X
Allergy & Immunology Physician
Primary
82993
GA
207R00000X
Internal Medicine Physician
82993
GA
207R00000X
Internal Medicine Physician
MD.207889
LA
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
82993
GA
Other
Enumeration date
04/20/2012
Last updated
06/10/2022
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