Reddy, Challori J.
Reddy, Challori J. is an sole proprietor health care provider with primary practice located at 2007 Ocilla Rd , Douglas GA 31533-2229. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Reddy, Challori J. can be contacted via phone (912) 384-0162.Contact Information
Primary practice address
2007 Ocilla Rd
Douglas GA 31533-2229
Phone: (912) 384-0162
Fax: (912) 384-4863
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 029936 | Georgia |
Profile Details
| NPI number | 1558371807 |
|---|---|
| LBN Legal business name | Reddy, Challori J. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 9th, 2006 |
| Last updated | Apr 11th, 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 | 1558371807 | NPPES |
| Georgia | Other | 029936 | STATE LICENSE NUMBER |
| Georgia | MEDICAID | 00346717A | STATE LICENSE NUMBER |
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