Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | 0101262347 | VA |
N | 207K00000X | Allergist & Immunologist | 82993 | GA |
Y | 207R00000X | Internist | 82993 | GA |
Y | 111NI0900X | Internist | 82993 | GA |
N | 207R00000X | Internist | MD.207889 | LA |
N | 111NI0900X | Internist | MD.207889 | LA |
N | 207RA0201X | Internist - Allergy & Immunology | 82993 | GA |
NPI | 1932466430 |
---|---|
Provider Name | Samata Kamireddy |
First Address | Atlanta, GA 30313-2420 |
Second Address | Atlanta, GA 30313-2420 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/04/2012 |
Last Update Date | 14/09/2021 |