Individual
SAMHITHA PEDDADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1400 RIVER PL, BRASELTON, GA 30517-5600
(770) 219-2627
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
104709
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2022
Last updated
08/14/2025
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