Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 041476 | GA |
NPI | 1003855818 |
---|---|
Provider Name | Silpa Reddy |
First Address | Sandy Springs, GA 30342-1709 |
Second Address | Atlanta, GA 30342-1699 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2006 |
Last Update Date | 28/08/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00869668B | (05) | GA |
H19597 | (02) | GA |