Provider Demographics
NPI:1407857345
Name:REDDY, ROHINI K (MD)
Entity Type:Individual
Prefix:
First Name:ROHINI
Middle Name:K
Last Name:REDDY
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:227 SCENIC HWY
Mailing Address - Street 2:SUITE A
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30046-5649
Mailing Address - Country:US
Mailing Address - Phone:770-513-7666
Mailing Address - Fax:770-513-1093
Practice Address - Street 1:227 SCENIC HWY
Practice Address - Street 2:SUITE A
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30045-5649
Practice Address - Country:US
Practice Address - Phone:770-513-7666
Practice Address - Fax:770-513-1093
Is Sole Proprietor?:No
Enumeration Date:2005-08-02
Last Update Date:2023-03-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA0572412084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
057241OtherGA LICENSE
GA950431556CMedicaid
GA950431556CMedicaid
GABR9920605OtherDEA