Kotla, Venumadhav Reddy
Kotla, Venumadhav Reddy is an individual health care provider with primary practice located at 725 Jesse Jewell Pkwy Se , Gainesville GA 30501-3834. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is his primary health care specialty. Kotla, Venumadhav Reddy can be contacted via phone (770) 297-5700.Contact Information
Primary practice address
725 Jesse Jewell Pkwy Se
Gainesville GA 30501-3834
Phone: (770) 297-5700
Fax: (770) 718-1877
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology | 207RH0000X | C1-0025235 | Delaware |
| Allopathic & Osteopathic Physicians / Hematology | 207RH0000X | 79570 | Georgia |
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 44706 | Tennessee |
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | C1-0025235 | Delaware |
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | 79570 | Georgia |
Profile Details
| NPI number | 1194983122 |
|---|---|
| LBN Legal business name | Kotla, Venumadhav Reddy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2008 |
| Last updated | Aug 8th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194983122 | NPPES |
| Tennessee | Other | 4236662 | BCBS |
| Tennessee | MEDICAID | 7100070430 | BCBS |
| Tennessee | MEDICAID | 1514694 | BCBS |
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