LANKALA RAJENDRA REDDY MD NPI 1174524581

NPI Information

NPI: 1174524581
Provider Name: LANKALA RAJENDRA REDDY, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
150 MEDICAL BLVD
STE B
STOCKBRIDGE, GA
ZIP 30281
Phone: (770) 389-9944
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Lankala Rajendra Reddy, MD is a pediatrics in Stockbridge, GA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Lankala Rajendra Reddy, MD NPI is 1174524581. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

150 MEDICAL BLVD
STE B
STOCKBRIDGE, GA
ZIP 30281-053
Phone: (770) 389-9944
Fax: (770) 389-1973

The enumeration date for this NPI number is 8/9/2005 and was last updated on 9/30/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		047648	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier Issuer
1	1200384	OTHER	UNITED HEALTHCARE
2	581487734	OTHER	PREFERRED PLAN
3	581487734	OTHER	UNICARE
4	581487734	OTHER	ONE HEALTH PLAN
5	581487734	OTHER	PREFERRED HEALTH NETWORK
6	581487734	OTHER	HMO CIGNA
7	581487734	OTHER	PROMINA CLAIMS
8	782949	OTHER	FEP BLUE CROSS BLUE SHIEL
9	782949	OTHER	BCBS
10	2335725	OTHER	AETNA SELECT US HEALTHC
11	8563	OTHER	KAISER
12	581487734	OTHER	PROMINA
13	581487734	OTHER	OXFORD HEALTHCARE
14	581487734	OTHER	METRAHEALTH
15	7483096	OTHER	AETNA
16	581487734	OTHER	GENERAL
17	581487734	OTHER	PRINCIPAL
18	581487734	OTHER	PHCS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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