Mandadi, Vikram Reddy

Mandadi, Vikram Reddy is an individual health care provider with primary practice located at 6507 Professional Pl , Riverdale GA 30274-4941. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Mandadi, Vikram Reddy can be contacted via phone (770) 991-2100.

Contact Information

Primary practice address
6507 Professional Pl Riverdale GA 30274-4941
Phone: (770) 991-2100
Fax: (770) 991-1385
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 058798 Georgia
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 058798 Georgia
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 058798 Georgia

Profile Details

NPI number 1598852436
LBN Legal business name Mandadi, Vikram Reddy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2006
Last updated Sep 26th, 2017 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598852436 NPPES
Georgia Other 06CBBWF MEDICARE ID
Georgia MEDICAID 659943665A MEDICARE ID

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