Reddy, Kota R
Reddy, Kota R is an individual health care provider with primary practice located at 6330 Primrose Hill Ct , Norcross GA 30092-4544. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Reddy, Kota R can be contacted via phone (770) 903-0144.Contact Information
Primary practice address
6330 Primrose Hill Ct
Norcross GA 30092-4544
Phone: (770) 903-0144
Fax: (770) 903-0145
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 046479 | Georgia |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 046479 | Georgia |
Profile Details
| NPI number | 1891733135 |
|---|---|
| LBN Legal business name | Reddy, Kota R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2006 |
| Last updated | May 5th, 2016 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891733135 | NPPES |
| Georgia | MEDICAID | 000809168D | |
| Georgia | Other | 1609816123 | |
| Georgia | MEDICAID | 000809168B | |
| Georgia | MEDICAID | 000809168C |
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