Reddy, Sudha Dharmareddi

Reddy, Sudha Dharmareddi is an individual health care provider with primary practice located at 750 Town Park Lane Kaiser Permanente Town Park Medical Center, Kennesaw GA 30144. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Reddy, Sudha Dharmareddi can be contacted via phone (770) 514-5464.

Contact Information

Primary practice address
750 Town Park Lane Kaiser Permanente Town Park Medical Center Kennesaw GA 30144
Phone: (770) 514-5464
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 053871 Georgia

Profile Details

NPI number 1932208055
LBN Legal business name Reddy, Sudha Dharmareddi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2006
Last updated Sep 19th, 2013 - about 11 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 1932208055 NPPES
Georgia MEDICAID 310618202B

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