Reddy, Shalini Gavva
Reddy, Shalini Gavva is an individual health care provider with primary practice located at 1825 Martha Berry Blvd Nw , Rome GA 30165-1625. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Reddy, Shalini Gavva can be contacted via phone (706) 238-8012.Contact Information
Primary practice address
1825 Martha Berry Blvd Nw
Rome GA 30165-1625
Phone: (706) 238-8012
Fax: (706) 238-8013
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 045935 | Georgia |
Profile Details
| NPI number | 1811982770 |
|---|---|
| LBN Legal business name | Reddy, Shalini Gavva |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 16th, 2005 |
| Last updated | Apr 29th, 2020 - about 4 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 | 1811982770 | NPPES |
| Georgia | MEDICAID | 000797112D | |
| Georgia | MEDICAID | 000797112E |
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