Male or Other

Praveen C. Reddy MD

Vascular & Interventional Radiology Physician in Atlanta, GA(View on Map)

Full Name

Praveen C Reddy MD

NPI Number

1124093851

NPI Type

Individual Provider

Gender

Male

Enumeration Date

02/17/2006

Specialties

(Taxonomies)

Code

2085R0204X
2085R0202X

Primary Taxonomy

Yes
No

Licenses

State

Georgia

License Number

056471

Contact
Information

Purpose

Mailing
Location

Address

5605 GLENRIDGE DR STE 325
1000 JOHNSON FERRY RD NE

City

Atlanta
Atlanta

State

GA
GA

Postal Code

30342-1365
30342-1606

Country

US
US

Telephone Number

(678) 553-7783
(404) 851-6323

Identifiers

Identifier

920477119

Identifier State

GA

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 05/06/2019

Provider Address

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