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Contact Information

SUDHA P REDDY, MD
631 PROFESSIONAL DR STE 210
LAWRENCEVILLE, GA30046-3392
 Phone: 678-312-3500
 Fax: 678-312-3529
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospitalist

208M00000X
 

Infectious Disease

207RI0200X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for SUDHA P REDDY · (Female)

NPI Number 1306871512
Status Active
Credentials MD
Entity Individual
Enumeration date 07/12/2006
Last updated 03/05/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 056179
  • GA License # 56179
  • GA Medicaid 263262310A
  • GA Other GA056179 GA LICENSE #
Hospital affiliation(s)
  • GWINNETT MEDICAL CENTER - (Acute Care)
    1000 MEDICAL CENTER BOULEVARD
    LAWRENCEVILLE, GA 30045
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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