Reddy, Sudha P

Reddy, Sudha P is an individual health care provider with primary practice located at 631 Professional Dr Ste 210 , Lawrenceville GA 30046-3392. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Infectious Disease, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Reddy, Sudha P can be contacted via phone (678) 312-3500.

Contact Information

Primary practice address
631 Professional Dr Ste 210 Lawrenceville GA 30046-3392
Phone: (678) 312-3500
Fax: (678) 312-3529
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 056179 Georgia
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 56179 Georgia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 056179 Georgia

Profile Details

NPI number 1306871512
LBN Legal business name Reddy, Sudha P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Mar 5th, 2023 - about 3 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 1306871512 NPPES
Georgia Other GA056179 GA LICENSE #
Georgia MEDICAID 263262310A GA LICENSE #

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