Reddy, Prathima Lankala

Reddy, Prathima Lankala is an individual health care provider with primary practice located at 1019 Astor Ave , Forest Park GA 30297-3532. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Reddy, Prathima Lankala can be contacted via phone (404) 366-9311.

Contact Information

Primary practice address
1019 Astor Ave Forest Park GA 30297-3532
Phone: (404) 366-9311
Fax: (404) 366-1250
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 047649 Georgia

Profile Details

NPI number 1457418816
LBN Legal business name Reddy, Prathima Lankala
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2007
Last updated Sep 3rd, 2019 - about 7 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 1457418816 NPPES
Georgia MEDICAID 000901788A

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