Provider Demographics
NPI:1760642938
Name:REDDY, ADHIKARI (LATA) (MD)
Entity type:Individual
Prefix:
First Name:ADHIKARI
Middle Name:(LATA)
Last Name:REDDY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:77 COLLIER RD NW
Mailing Address - Street 2:SUITE 2080
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309-1764
Mailing Address - Country:US
Mailing Address - Phone:404-350-6622
Mailing Address - Fax:404-609-7608
Practice Address - Street 1:77 COLLIER RD NW
Practice Address - Street 2:SUITE 2080
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-1764
Practice Address - Country:US
Practice Address - Phone:404-350-6622
Practice Address - Fax:404-609-7608
Is Sole Proprietor?:No
Enumeration Date:2008-06-11
Last Update Date:2015-11-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA068606207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology