Provider Demographics
NPI:1336184126
Name:BAYYAPUREDDY, PRIYA VAMSI (MD)
Entity Type:Individual
Prefix:DR
First Name:PRIYA
Middle Name:VAMSI
Last Name:BAYYAPUREDDY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3850 WINDERMERE PKWY
Mailing Address - Street 2:SUITE# 105
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30041-7002
Mailing Address - Country:US
Mailing Address - Phone:678-455-2800
Mailing Address - Fax:770-888-9998
Practice Address - Street 1:3850 WINDERMERE PKWY
Practice Address - Street 2:SUITE# 105
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30041-7002
Practice Address - Country:US
Practice Address - Phone:678-455-2800
Practice Address - Fax:770-888-9998
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-17
Last Update Date:2020-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA055177207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA376958020AMedicaid
GA511I110922Medicare PIN