Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 059025 | GA |
NPI | 1093872558 |
---|---|
Provider Name | Geetha Reddy Soodini |
First Address | Alpharetta, GA 30022-8129 |
Second Address | Cumming, GA 30041 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/01/2007 |
Last Update Date | 26/02/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
207RE0101X | TAXONOMY (01) | GA |
770-844-8428 | CONTACT PERSON (01) | GA |