Provider Demographics
NPI:1184643678
Name:REDDY, RAMESH G (MD)
Entity Type:Individual
Prefix:
First Name:RAMESH
Middle Name:G
Last Name:REDDY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:35 COLLIER RD NW
Mailing Address - Street 2:SUITE 635
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309-1613
Mailing Address - Country:US
Mailing Address - Phone:404-367-3014
Mailing Address - Fax:404-367-3558
Practice Address - Street 1:35 COLLIER RD NW
Practice Address - Street 2:SUITE 635
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-1613
Practice Address - Country:US
Practice Address - Phone:404-367-3014
Practice Address - Fax:404-367-3558
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2016-10-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA035982207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA111041Medicaid
GA297157Medicaid
GA110141694OtherRAILROAD MEDICARE
GA3107253OtherGHI
GAF38702Medicare UPIN
GA11BDMHF01Medicare ID - Type UnspecifiedMEDICARE
GA825101OtherCIGNA
GA919833OtherAETNA
GA0406504OtherUNITED HEALTHCARE
GA00518174IMedicaid
GA0400177OtherEVERCARE
GA28849OtherBCBS