DR. KUCHELA REDDY


Address: 6507 Professional Pl, Riverdale, GA 30274-4941
Phone: 7709912100

DR. KUCHELA REDDY (NPI# 1902869084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902869084
Entity Type Individual
Full Name DR. KUCHELA REDDY
Credential MD
Practice Address 6507 Professional Pl
Riverdale
GA 30274-4941
Practice Telephone 7709912100
Practice Fax Number 7709911385
Mailing Telephone 7709912100
Mailing Fax Number 7709911385
Enumeration Date 2006-04-10
Last Update Date 2009-05-04
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
027432 GA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
GA 00316709A 05

Office Location

Street Address 6507 PROFESSIONAL PL
City RIVERDALE
State GA
Zip Code 30274-4941

Providers in the same location

NPI Name Taxonomy Address Enumeration
1043219256 Bhat Krishna Mohan Specialist 6507 Professional Pl, Riverdale, GA 30274-4941 2005-07-19
1114574258 Brittany Lynne Jackson Nurse Practitioner 6507 Professional Pl, Riverdale, GA 30274-4941 2019-08-22
1154781714 Kellie Michelle Noble Nurse Practitioner 6507 Professional Pl, Riverdale, GA 30274-4941 2016-02-24
1861736803 Dipti Khanna Nurse Practitioner 6507 Professional Pl, Riverdale, GA 30274-4941 2012-11-15
1376768259 Minnette Williams Internal Medicine 6507 Professional Pl, Riverdale, GA 30274-4941 2007-04-16
1598852436 Vikram Reddy Mandadi Internal Medicine 6507 Professional Pl, Riverdale, GA 30274-4941 2006-10-10
1215049440 Siva B Mohan Internal Medicine 6507 Professional Pl, Riverdale, GA 30274-4941 2006-09-01
1639128531 Southern Heart Specialists, P.C. Internal Medicine 6507 Professional Pl, Riverdale, GA 30274-4941 2006-05-08
1265495444 Kandathil M. Mathew Internal Medicine 6507 Professional Pl, Riverdale, GA 30274-4941 2006-04-10
1659334829 Devendra R Koganti Internal Medicine 6507 Professional Pl, Riverdale, GA 30274-4941 2006-04-10
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1245862507 Todd L. Reed Chiropractor 83 Upper Riverdale Rd, Riverdale, GA 30274 2020-02-05
1487135992 Freddie L Sallette IIi Technician, Pathology 385 Brookview Dr, Riverdale, GA 30274 2018-08-22
1366933210 Dawn A. Paul Nurse Practitioner 238 Professional Ct Ste A, Riverdale, GA 30274 2018-05-27
1851894588 Absolute Health Family & Urgent Care Clinic Clinic/Center 7574 Ga 85, Riverdale, GA 30274 2018-03-08
1366972127 Jamillah Ingram Physical Therapy Assistant 315 Upper Riverdale Rd., Riverdale, GA 30274 2017-06-14
1114456514 Grace L Kelson Licensed Practical Nurse 9142 Clubhouse Dr, Riverdale, GA 30274 2017-06-08
1790167799 Cristian Carbuccia Internal Medicine 33 Upper Riverdale Rd Sw Ste 10, Riverdale, GA 30274 2015-06-25
1265857692 Right Choice Enterprises LLC Technician 638 Sterling Ct, Riverdale, GA 30274 2014-02-21
1942571625 Lowes Guardian Angel LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 7056 Eunice Dr., Riverdale, GA 30274 2012-01-26
1508134156 Education System Management, Inc Social Worker 125 Highway 138, Riverdale, GA 30274 2011-12-12
Find all providers in zip 30274

Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477500734 Chituru Adele Internal Medicine 483 Upper Riverdale Rd Sw, Suite C, Riverdale, GA 30274-2584 2006-05-30
1336129840 Tanveer A. Malik Internal Medicine 6504 Kenilworth Ave, Suite 200, Riverdale, MD 20737-1386 2006-01-19
1154795581 Prime Healthcare Foundation - Southern Regional, LLC Internal Medicine 11 Upper Riverdale Rd Sw, Riverdale, GA 30274-2615 2015-11-23
1083897482 Ashraf Md PC Internal Medicine 5711 Sarvis Ave, Suite#100, Riverdale, MD 20737-1394 2007-12-10
1376768259 Minnette Williams Internal Medicine 6507 Professional Pl, Riverdale, GA 30274-4941 2007-04-16
1700951563 Georgia Heart Associates, PC Internal Medicine 33 Upper Riverdale Rd Sw, Suite 118, Riverdale, GA 30274-2626 2006-11-21
1720033392 Kallukalam Joseph Mathew Internal Medicine 6504 Kenilworth Ave, Suite 200, Riverdale, MD 20737-1386 2006-05-23
1730132648 Riverside Medical Associates Pa Internal Medicine 6502 Kenilworth Ave, Suite 100, Riverdale, MD 20737-1370 2006-05-19
1639128531 Southern Heart Specialists, P.C. Internal Medicine 6507 Professional Pl, Riverdale, GA 30274-4941 2006-05-08
1265495444 Kandathil M. Mathew Internal Medicine 6507 Professional Pl, Riverdale, GA 30274-4941 2006-04-10
Find all providers in RIVERDALE

Competitor

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City RIVERDALE
Zip Code 30274

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Dataset Information

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.

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