Nallala, Deepika Reddy

Nallala, Deepika Reddy is an individual health care provider with primary practice located at 325 N State Of Franklin Rd Fl 2 , Johnson City TN 37604-6092. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Nallala, Deepika Reddy can be contacted via phone (423) 439-7280.

Contact Information

Primary practice address
325 N State Of Franklin Rd Fl 2 Johnson City TN 37604-6092
Phone: (423) 439-7280
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X MD468743 Pennsylvania
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 036127090 Illinois
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 54984 Tennessee

Profile Details

NPI number 1851609739
LBN Legal business name Nallala, Deepika Reddy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2010
Last updated Jan 24th, 2024 - about last year

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 1851609739 NPPES
Tennessee Other 3714470 GRP MEDICARE
Tennessee MEDICAID Q025639 GRP MEDICARE

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