Reddy, Nitya M
Reddy, Nitya M is an individual health care provider with primary practice located at 725 Jesse Jewell Pkwy Se , Gainesville GA 30501-3834. She 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 her primary health care specialty. Reddy, Nitya M can be contacted via phone (770) 535-0191.Contact Information
Primary practice address
725 Jesse Jewell Pkwy Se
Gainesville GA 30501-3834
Phone: (770) 535-0191
Fax: (770) 535-0916
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 061151 | Georgia |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 000485 | Georgia |
Profile Details
| NPI number | 1245452598 |
|---|---|
| LBN Legal business name | Reddy, Nitya M |
| Credentials | MBBS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 3rd, 2007 |
| Last updated | Mar 7th, 2019 - about 5 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 | 1245452598 | NPPES |
| Georgia | Other | 01310558 | AMERIGROUP |
| Georgia | Other | 52318303 | AMERIGROUP |
| Georgia | Other | 515470 | AMERIGROUP |
| Georgia | MEDICAID | 531391441A | AMERIGROUP |
| Georgia | Other | 3422646 | AMERIGROUP |
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