Meka, Madhuri Reddynaga
Meka, Madhuri Reddynaga is an individual health care provider with primary practice located at 711 Canton Rd Ne Ste 300 , Marietta GA 30060. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is her primary health care specialty. Meka, Madhuri Reddynaga can be contacted via phone (678) 741-5000.Contact Information
Primary practice address
711 Canton Rd Ne Ste 300
Marietta GA 30060
Phone: (678) 741-5000
Fax: (678) 819-4280
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 134717 | North Carolina |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 062504 | Georgia |
Profile Details
| NPI number | 1023283751 |
|---|---|
| LBN Legal business name | Meka, Madhuri Reddynaga |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 23rd, 2008 |
| Last updated | May 31st, 2018 - about 7 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 | 1023283751 | NPPES |
| Georgia | Other | 20I103275 | PTAN MEDICARE |
| Georgia | MEDICAID | 808197072H | PTAN MEDICARE |
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