Provider Demographics
NPI:1336550078
Name:JONNALAGADDA, DURGA REDDY (MD)
Entity Type:Individual
Prefix:
First Name:DURGA
Middle Name:REDDY
Last Name:JONNALAGADDA
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 1:700 ACKERMAN RD STE 2120
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43202-1559
Mailing Address - Country:US
Mailing Address - Phone:740-852-4100
Mailing Address - Fax:740-845-0323
Practice Address - Street 1:50 N WILSON RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43204-1214
Practice Address - Country:US
Practice Address - Phone:614-702-7915
Practice Address - Fax:614-965-6534
Is Sole Proprietor?:No
Enumeration Date:2014-05-15
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.131928207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine