KOTA R REDDY M.D. NPI 1891733135

NPI Information

NPI: 1891733135
Provider Name: KOTA R REDDY, M.D.
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

PECOS Registration: Yes

Address:
6330 PRIMROSE HILL CT
NORCROSS, GA
ZIP 30092
Phone: (770) 903-0144
Get Directions

Kota R Reddy, M.D. is a cardiovascular disease internal medicine in Norcross, GA. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. Kota R Reddy, M.D. NPI is 1891733135. 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:

6330 PRIMROSE HILL CT
NORCROSS, GA
ZIP 30092-544
Phone: (770) 903-0144
Fax: (770) 903-0145

The NPI 1891733135 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 6/2/2006 and was last updated on 5/5/2016.

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	207R00000X	Internal Medicine		046479	GEORGIA	No
2	207RC0000X	Internal Medicine	Cardiovascular Disease	046479	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 State	Other Provider Identifier Issuer
1	000809168B	MEDICAID	GEORGIA
2	000809168D	MEDICAID	GEORGIA
3	1609816123	OTHER	GEORGIA	GEORGIA CLINIC PC NPI # FOR GROUP
4	000809168C	MEDICAID	GEORGIA
5	06BDHZD	MEDICARE PIN
6	G80325	MEDICARE UPIN

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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