SUDHA DHARMAREDDI REDDY (NPI# 1932208055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932208055 |
| Entity Type | Individual |
| Full Name | SUDHA DHARMAREDDI REDDY |
| Credential | M.D. |
| Practice Address |
750 Town Park Lane Kaiser Permanente Town Park Medical Center Kennesaw GA 30144 |
| Mailing Address |
3495 Piedmont Road, Ne Nine Piedmont Center Atlanta GA 30305 |
| Practice Telephone | 7705145464 |
| Mailing Telephone | 4043647070 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2013-09-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 053871 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 310618202B | 05 |
| 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 |
| 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 |
| 1306871512 | Sudha P Reddy | Internal Medicine | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2006-07-12 |
| Street Address |
750 TOWN PARK LANE KAISER PERMANENTE TOWN PARK MEDICAL CENTER |
| City | KENNESAW |
| State | GA |
| Zip Code | 30144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992701007 | James Larry Hornsby Jr. | Family Medicine | 750 Town Park Lane, Town Park Comprehensive Medical Center, Kennesaw, GA 30144 | 2005-06-23 |
| 1184065468 | Tania Rani Aurora | Physician Assistant | 750 Town Park Lane, Kaiser Permanente Town Park Medical Center, Kennesaw, GA 30144 | 2013-07-15 |
| 1912250770 | Maureen G Tracchia | Advanced Practice Midwife | 750 Town Park Lane, Kaiser Permanente Comprehensive Medical Center, Kennesaw, GA 30144 | 2012-10-18 |
| 1639464902 | Suzanne Rachel Nelson | Physician Assistant | 750 Town Park Lane, Kaiser Permanente Town Park Medical Center, Kennesaw, GA 30144 | 2011-06-15 |
| 1568753838 | Namita Bhardwaj | Ophthalmology | 750 Town Park Lane, Kaiser Permanente Town Park Medical Center, Kennesaw, GA 30144 | 2011-04-21 |
| 1407175128 | Aarthi Sridhar | Emergency Medicine | 750 Town Park Lane, Kaiser Permanente Town Park Comprehensive Medical Cente, Kennesaw, GA 30144 | 2010-05-20 |
| 1023347010 | Esther M. Motlhatlhedi | Family Medicine | 750 Town Park Lane, Paiser Permanente Town Park Medical Office-dept of Ambu, Kennesaw, GA 30144 | 2009-12-22 |
| 1336382753 | Dareema Hughes | Emergency Medicine | 750 Town Park Lane, Kaiser Permanente Townpark Comprehensive Medical Center, Kennesaw, GA 30144 | 2009-04-15 |
| 1972762136 | Suleka Neelagaru | Student in an Organized Health Care Education/Training Program | 750 Town Park Lane, Kaiser Permenente Town Park Medical Office, Kennesaw, GA 30144 | 2008-06-03 |
| 1972775039 | Benjamin Hall Roberts | Pediatrics | 750 Town Park Lane, Kaiser Permanente Town Park Medical Center, Kennesaw, GA 30144 | 2008-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205440054 | Physician Assistant Surgical Solutions | Surgery | 4290 Bells Ferry Road, Suite 134 - 1032, Kennesaw, GA 30144 | 2020-08-31 |
| 1487149340 | Creative Family Care Inc. | Social Worker | 1275 Shiloh Rd Nw Ste 3030, Kennesaw, GA 30144 | 2018-06-24 |
| 1033632203 | Octavio Andres Tobar | Specialist/Technologist | 1950 Barrett Lakes Blvd Nw Apt 1213, Kennesaw, GA 30144 | 2017-07-19 |
| 1851829220 | Sharon Mcmillan | Counselor | 1301 Shiloh Rd Nw Ste 1840, Kennesaw, GA 30144 | 2017-05-31 |
| 1073054680 | Metropolitan Health Care Plus Inc | Home Health | 445 Laurian Way, Kennesaw, GA 30144 | 2017-03-15 |
| 1649627969 | Caresouth Hha Holdings of Gainesville, LLC | Hospice Care, Community Based | 1000 Cobb Place Blvd Nw Ste 310, Kennesaw, GA 30144 | 2016-05-17 |
| 1851745988 | Joseph Mulligan | Social Worker | 1301 Shiloh Rd., Ste. 849, Kennesaw, GA 30144 | 2016-04-14 |
| 1629438601 | Youfit Health Clubs | Clinic/Center | 3895 Cherokee St Suite 100, Kennesaw, GA 30144 | 2016-03-03 |
| 1598156317 | Jodie Evans | Specialist | 1925 Vaughn Rd, Ste 200, Kennesaw, GA 30144 | 2015-02-16 |
| 1912302134 | Sleepmed Therapies, Inc. | Durable Medical Equipment & Medical Supplies | 1000 Cobb Place Blvd Nw Ste 510, Kennesaw, GA 30144 | 2014-10-30 |
| Find all providers in zip 30144 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851836100 | Atlanta Primary Care House Calls for Senior Communities | Emergency Medicine | 3567 Bozeman Lake Rd Nw, Kennesaw, GA 30144-2010 | 2016-12-22 |
| 1144268541 | Kathleen Marie Gunchick | Emergency Medicine | 1000 Chastain Road Md 5200 House 52, Kennesaw State University Health Clinic, Kennesaw, GA 30144-5591 | 2006-06-04 |
| 1003805342 | Dorland Brown | Emergency Medicine | 3805 Cherokee St Nw, Kennesaw, GA 30144-2085 | 2005-10-19 |
| 1942204557 | Chad Jude Aleman | Emergency Medicine | 1300 Ernest W Barrett Pkwy Nw, Suite 230, Kennesaw, GA 30152-5007 | 2005-06-10 |
| 1407175128 | Aarthi Sridhar | Emergency Medicine | 750 Town Park Lane, Kaiser Permanente Town Park Comprehensive Medical Cente, Kennesaw, GA 30144 | 2010-05-20 |
| 1336382753 | Dareema Hughes | Emergency Medicine | 750 Town Park Lane, Kaiser Permanente Townpark Comprehensive Medical Center, Kennesaw, GA 30144 | 2009-04-15 |
| 1740455179 | Sarah Elizabeth Cates | Emergency Medicine | 750 Townpark Lane, Kaiser Permanente Townpark Comprehensive Medical Center, Kennesaw, GA 30144 | 2008-04-27 |
| 1609962356 | Jannet R Scruggs | Emergency Medicine | 750 Townpark Lane, Kaiser Permanente Townpark Medical Office, Kennesaw, GA 30144 | 2006-10-04 |
| 1790716272 | Sharon Y Waters | Emergency Medicine | 750 Townpark Lane, Kaiser Permanente Townpark Comprehensive Medical Center, Kennesaw, GA 30144 | 2006-07-05 |
| 1689616401 | Punam Sachdev | Emergency Medicine | 750 Townpark Lane, Kaiser Permanente Townpark Medical Center, Kennesaw, GA 30144 | 2006-06-13 |
| Find all providers in KENNESAW | ||||
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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.