Reddy, Swaroop M

Reddy, Swaroop M is an sole proprietor health care provider with primary practice located at 5 W Altman St , Statesboro GA 30458-5212. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Reddy, Swaroop M can be contacted via phone (912) 764-6906.

Contact Information

Primary practice address
5 W Altman St Statesboro GA 30458-5212
Phone: (912) 764-6906
Fax: (912) 764-3252
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 029292 Georgia

Profile Details

NPI number 1235363581
LBN Legal business name Reddy, Swaroop M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 14th, 2009
Last updated Sep 6th, 2016 - about 10 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 1235363581 NPPES
Georgia MEDICAID 000373997A
Georgia Other 1808541
Georgia Other 479327

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