Gazzala, Jawahar Reddy
Gazzala, Jawahar Reddy is an individual health care provider with primary practice located at 1468 Montreal Rd , Tucker GA 30084. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Gazzala, Jawahar Reddy can be contacted via phone (470) 273-6263.Contact Information
Primary practice address
1468 Montreal Rd
Tucker GA 30084
Phone: (470) 273-6263
Fax: (678) 916-4957
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 34141 | Alabama |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 79419 | Georgia |
Profile Details
| NPI number | 1033373238 |
|---|---|
| LBN Legal business name | Gazzala, Jawahar Reddy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 16th, 2008 |
| Last updated | Jul 5th, 2018 - 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 | 1033373238 | NPPES |
| Texas | Other | BP10039371 | TEXAS MEDICAL BOARD |
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