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
Fax: (770) 535-0916
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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