Rasamallu, Kishore Reddy
Rasamallu, Kishore Reddy is an individual health care provider with primary practice located at 12895 Keystone Ct , Alpharetta GA 30009-1526. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Rasamallu, Kishore Reddy can be contacted via phone (210) 379-8553.Contact Information
Primary practice address
12895 Keystone Ct
Alpharetta GA 30009-1526
Phone: (210) 379-8553
Fax: (910) 900-1239
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | MD432046 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 077148 | Georgia |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD432046 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | M9598 | Texas |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | M9598 | Texas |
Profile Details
| NPI number | 1568667863 |
|---|---|
| LBN Legal business name | Rasamallu, Kishore Reddy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 18th, 2007 |
| Last updated | Jun 20th, 2024 - about 3 months 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 | 1568667863 | NPPES |
| Pennsylvania | Other | 2864090000 | PERSONAL CHOICE |
| Pennsylvania | Other | 30046047 | PERSONAL CHOICE |
| Pennsylvania | MEDICAID | 1020162720001 | PERSONAL CHOICE |
| Pennsylvania | Other | 1988201 | PERSONAL CHOICE |
| Pennsylvania | Other | 39170 | PERSONAL CHOICE |
| Pennsylvania | Other | 2864090000 | PERSONAL CHOICE |
| Pennsylvania | Other | 1747437 | PERSONAL CHOICE |
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