SUDHA P REDDY (NPI# 1306871512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306871512 |
| Entity Type | Individual |
| Full Name | SUDHA P REDDY |
| Credential | MD |
| Practice Address |
1000 Medical Center Blvd Lawrenceville GA 30046-7694 |
| Mailing Address |
Po Box 116156 Atlanta GA 30368-6156 |
| Practice Telephone | 6783123273 |
| Practice Fax Number | 6783123282 |
| Mailing Telephone | 4048510081 |
| Mailing Fax Number | 4048510077 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2012-10-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 056179 | GA | Allopathic & Osteopathic Physicians |
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
056179 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 263262310A | 05 | |
| GA | GA LICENSE # | GA056179 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679123566 | Sudha Anand Reddy | Dentist | 100 Hillcrest Rd, East Moline, IL 61244-1195 | 2019-09-12 |
| 1407923352 | Sudha Reddy | Obstetrics & Gynecology | 3733 San Dimas St, Bakersfield, CA 93301-1407 | 2006-11-29 |
| 1932208055 | Sudha Dharmareddi Reddy | Emergency Medicine | 750 Town Park Lane, Kaiser Permanente Town Park Medical Center, Kennesaw, GA 30144 | 2006-09-22 |
| 1245250265 | Sudha Reddy | Pediatrics | 1501 Kings Hwy, Department of Pediatrics, Section of Endocrinology, Shreveport, LA 71103-4228 | 2006-07-20 |
| 1922023340 | Sudha Reddy | Allergy & Immunology | 12123 Conant St, Hamtramck, MI 48212-2718 | 2006-07-13 |
| Street Address |
1000 MEDICAL CENTER BLVD |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30046-7694 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942203757 | Peter J Kaplan | Specialist | 1000 Medical Center Blvd, Lawrenceville, GA 30045-7694 | 2005-05-24 |
| 1780281469 | Khatija Jivani | Pharmacist | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2020-10-06 |
| 1780298356 | Jennifer Nicole Venable | Anesthesiologist Assistant | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2020-09-01 |
| 1639782378 | Tehzeeb Babwani | Anesthesiologist Assistant | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2020-08-24 |
| 1801417480 | Northside Hospital Inc | Pharmacy | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2020-05-05 |
| 1851929996 | Mclean Davies | Student in an Organized Health Care Education/Training Program | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2020-04-01 |
| 1861029423 | Jaemi Chu | Internal Medicine | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2020-03-24 |
| 1548897267 | Sharul Saxena | Internal Medicine | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2020-03-24 |
| 1235766148 | Nahayo Esperant-hilaire | Student in an Organized Health Care Education/Training Program | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2020-03-23 |
| 1982239596 | Riley Claire Cullen | Nurse Practitioner | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2020-03-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063023174 | Alpha & Omega Hearing Centers | Hearing Instrument Specialist | Alpha & Omega Hearing Centers, 250 Langley Drive, Suite 1106, Lawrenceville, GA 30046 | 2020-08-12 |
| 1285259846 | Mesun Health Services, Inc | Clinical Nurse Specialist | 88 Johnson Rd Building # 1-b, Lawrenceville, GA 30046 | 2020-06-10 |
| 1215550264 | Mesun Health Services, Inc | Skilled Nursing Facility | 88 Johnson Rd. Building #2, Lawrenceville, GA 30046 | 2020-05-26 |
| 1306499785 | Bryan Acosta | Chiropractor | 471 Scenic Hwy South, Lawrenceville, GA 30046 | 2019-07-24 |
| 1205308616 | Belle Lumiere Cosmetics LLC | Dermatology | 753 Old Norcross Road, Lawrenceville, GA 30046 | 2018-12-24 |
| 1548730179 | Alexis Nicole Robinson | Nurse Anesthetist, Certified Registered | 1000 Medical Center Boulevard, Lawrenceville, GA 30046 | 2018-11-27 |
| 1679060388 | Christopher Puckett | Student in an Organized Health Care Education/Training Program | 665 Duluth Hwy Suite 501, Lawrenceville, GA 30046 | 2018-04-18 |
| 1457851255 | Advanced Urology Institute of Georgia | Urology | 501 Crown Point Way, Lawrenceville, GA 30046 | 2018-02-19 |
| 1013447044 | Pharmacy Investments of Lawrenceville, LLC | Pharmacy | 738 Old Norcross Road, Ste A, Lawrenceville, GA 30046 | 2017-06-13 |
| 1225577000 | Priority Housecalls LLC | Clinic/Center | 225 Scenic Hwy, Ste 200, Lawrenceville, GA 30046 | 2017-02-14 |
| Find all providers in zip 30046 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134393796 | Daniel Christopher Ketterer | Internal Medicine | 1960 Riverside Pkwy Ste 101, Lawrenceville, GA 30043-5945 | 2008-04-15 |
| 1679658702 | Gwinnett Infectious Diseases PC | Internal Medicine | 1960 Riverside Pkwy, Suite 101, Lawrenceville, GA 30043-5945 | 2006-10-26 |
| 1619980893 | Tzvetan Vassilev | Internal Medicine | 1960 Riverside Pkwy, Suite 101, Lawrenceville, GA 30043-5945 | 2006-08-15 |
| 1952318602 | Paul D Martin | Internal Medicine | 1960 Riverside Pkwy, Suite 101, Lawrenceville, GA 30043-5945 | 2006-08-02 |
| 1912913740 | Elliot G Raizes | Internal Medicine | 1960 Riverside Pkwy, Suite 101, Lawrenceville, GA 30043-5945 | 2006-08-01 |
| 1013921329 | Karuna Kusan | Internal Medicine | 1960 Riverside Pkwy, Suite 101, Lawrenceville, GA 30043-5945 | 2006-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376168468 | Gina Askar | Internal Medicine | 1399 Walton Way Apt 203, Augusta, GA 30901-2683 | 2020-06-15 |
| 1417571175 | Infusimed, LLC | Internal Medicine | 2193 Cascade Rd Sw, Atlanta, GA 30311-2862 | 2020-05-28 |
| 1528689841 | Elysium Health and Wellness | Internal Medicine | 5555 Peachtree Dunwoody Rd Ste 201, Atlanta, GA 30342-1711 | 2020-04-27 |
| 1285096115 | Kimberley Fox | Internal Medicine | 1600 Clifton Rd Ne, Ms A-04, Cdc, Atlanta, GA 30329 | 2016-03-21 |
| 1275991648 | Mary Patricia Joyce | Internal Medicine | 1600 Clifton Road, E-47, Centers for Disease Control and Prevention, Atlanta, GA 30329 | 2016-02-01 |
| 1942635081 | Faebris Medical & Community Education | Internal Medicine | 3939 Lavista Rd Ste E-310, Tucker, GA 30084-5162 | 2013-09-09 |
| 1275970253 | Bernard M Branson | Internal Medicine | 2175 Eldorado Dr Ne, Atlanta, GA 30345-3414 | 2013-05-30 |
| 1437491917 | John E Mcgowan Jr. | Internal Medicine | 2421 Oak Grove Valley Rd Ne, Atlanta, GA 30345-3885 | 2013-03-21 |
| 1831439744 | Frank Owen Evans Jr. | Internal Medicine | 220 E Montgomery St, Milledgeville, GA 31061-3533 | 2013-03-01 |
| 1972863629 | Jacobo Leon | Internal Medicine | 1500 Oglethorpe Ave Ste 300b, Athens, GA 30606-2181 | 2012-05-29 |
| Find all providers with the same taxonomy | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30046 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.