Individual
REKHA PAGADALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AA
Contact information
Practice address
2701 N DECATUR RD, DECATUR, GA 30033-5918
(678) 514-1991
(678) 514-1992
Mailing address
PO BOX 551420, FORT LAUDERDALE, FL 33355-1420
(800) 243-3839
(855) 851-4405
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
005410
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
752482095A
—
GA
Enumeration date
09/22/2008
Last updated
07/07/2016
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