PRAVEEN C REDDY (NPI# 1124093851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124093851 |
| Entity Type | Individual |
| Full Name | PRAVEEN C REDDY |
| Credential | MD |
| Practice Address |
1000 Johnson Ferry Rd Ne Atlanta GA 30342-1606 |
| Mailing Address |
5605 Glenridge Dr Ste 325 Atlanta GA 30342-1365 |
| Practice Telephone | 4048516323 |
| Mailing Telephone | 6785537783 |
| Mailing Fax Number | 6785537793 |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2019-05-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
056471 | GA | Allopathic & Osteopathic Physicians |
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
056471 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 920477119 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316988090 | Praveen Jada Kumar Reddy | Internal Medicine | 5400 Kell West Blvd, Wichita Falls, TX 76310-1610 | 2006-06-10 |
| 1255301842 | Praveen K Reddy | Orthopaedic Surgery | 721 River Dr., Suite B, Fort Bragg, CA 95437-5403 | 2006-01-25 |
| 1720060775 | Praveen B Reddy | Neurological Surgery | 1725 Se 28th Loop Ste 102, Ocala, FL 34471-5328 | 2005-11-16 |
| 1831539964 | Praveen A Reddy | Physician Assistant | 801 W 1st St, San Juan, TX 78589-2276 | 2013-07-03 |
| 1164769493 | Praveen D Reddy | Pharmacist | 5742 E Mockingbird Ln, Dallas, TX 75206-5422 | 2013-01-07 |
| 1184933319 | Praveen P Reddy | Pharmacist | 1 Millenium Dr, Willingboro, NJ 08046-1000 | 2010-10-05 |
| 1457663338 | Praveen K Reddy | Hospitalist | 267 Grant St, Bridgeport, CT 06610-2805 | 2010-07-08 |
| 1306028055 | Praveen Kumar Reddy | Physical Therapist | 16200 Hubbard Dr, Dearborn, MI 48126-4155 | 2007-12-04 |
| Street Address |
1000 JOHNSON FERRY RD NE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30342-1606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003814443 | Patricia Boatright Gilley | Pharmacist | 1000 Johnson Ferry Rd Ne, Northside Hospital Pharmacy, Atlanta, GA 30342-1606 | 2005-07-11 |
| 1194064485 | Nicole M Daniels | Nurse Anesthetist, Certified Registered | 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342-1606 | 2013-02-06 |
| 1801135512 | Brittany A Madden | Nurse Anesthetist, Certified Registered | 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 | 2013-02-01 |
| 1528307295 | Christine C Glenn | Nurse Anesthetist, Certified Registered | 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342-1606 | 2013-01-31 |
| 1083952964 | Kimberly A Stearns | Nurse Anesthetist, Certified Registered | 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342-1606 | 2013-01-28 |
| 1184978041 | Monica E Burrell | Nurse Anesthetist, Certified Registered | 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342-1606 | 2012-10-31 |
| 1588916845 | Anne H Lee | Anesthesiologist Assistant | 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342-1606 | 2012-10-11 |
| 1083966246 | Kathryn L Childress | Anesthesiologist Assistant | 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342-1606 | 2012-10-11 |
| 1285986448 | Meghan Torie Kosiba | Anesthesiologist Assistant | 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342-1606 | 2012-10-11 |
| 1184975856 | Jordan D Aigner | Anesthesiologist Assistant | 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342-1606 | 2012-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820614 | Nia Charnice Griffin | Nurse Practitioner | 5670 Peachtree Dunwoodyroad, Suite 900, Atlanta, GA 30342 | 2020-10-26 |
| 1255945184 | Jennifer Lynne Cole | Behavior Technician | 5555 Glenridge Con Suite 200, Atlanta, GA 30342 | 2020-09-08 |
| 1093336232 | Van Tran | Respiratory Therapist, Registered | 1000 Johnson Ferry Rd Ne, Atlanta, Ga 30342, Atlanta, GA 30342 | 2020-04-28 |
| 1356978340 | Twyla Douglas Jackson I | Clinical Nutrition, 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 | 2020-03-27 | |
| 1760013411 | Emily Hamm | Dietitian, Registered | 933 D Johnson Ferry Road, Suite 250, Atlanta, GA 30342 | 2020-01-31 |
| 1043855984 | Mackenzie Tucker Wayda | Registered Nurse | 1001 Johnson Ferry Rd. Ne, Atlanta, GA 30342 | 2019-11-14 |
| 1386288454 | Tiauna Lashun Cochman | Psychologist | 1307 Glenridge Dr, Sandy Springs, GA 30342 | 2019-11-01 |
| 1164074399 | Stephen J. White | Hearing Instrument Specialist | 5775 Peachtree Dunwoody Rd Suite 600 Fl. 6, Uhc Hearing, Atl., GA 30342 | 2019-07-09 |
| 1144788142 | Jaytyn LLC | Internal Medicine | 4600 Broswell Road, Atlanta, GA 30342 | 2019-03-08 |
| 1760954705 | Mishele Walker LLC | Counselor | 555 Glenridge Connector, Suite 200, Sandy Springs, GA 30342 | 2018-12-31 |
| Find all providers in zip 30342 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780184218 | Preferred Vascular Services Northeast | Radiology | 1 Dunwoody Park Ste 140, Atlanta, GA 30338-6708 | 2018-02-21 |
| 1417229741 | Northeast Atlanta Vascular Care, LLC | Radiology | 1 Dunwoody Park Ste 130, Atlanta, GA 30338-6714 | 2012-02-01 |
| 1932479813 | Peter Sones | Radiology | 1026 Clifton Rd Ne, Atlanta, GA 30307-1228 | 2012-01-09 |
| 1144543877 | Kuraoka Clinic | Radiology | 100 Galleria Pkwy Se, Suite 660, Atlanta, GA 30339-3179 | 2010-03-09 |
| 1093828956 | Curtis Alan Lewis | Radiology | 80 Jessie Hill Jr. Dr, Atlanta, GA 30303 | 2006-08-16 |
| 1790285229 | Preferred Vascular Services Southwest | Radiology | 3885 Princeton Lakes Way Sw Ste 314, Atlanta, GA 30331-7100 | 2018-02-21 |
| 1295256311 | Center for Vascular Intervention LLC | Radiology | 5505 Peachtree Dunwoody Rd Ste 370, Atlanta, GA 30342-1713 | 2017-06-28 |
| 1861933178 | Southwest Atlanta Vascular Care, LLC | Radiology | 3885 Princeton Lakes Way Sw, Suite 314, Atlanta, GA 30331-5589 | 2017-03-20 |
| 1184032070 | Vanessa Zavaletta | Radiology | 1405 Clifton Rd Ne, Atlanta, GA 30322-0001 | 2014-07-24 |
| 1518385202 | Kirema Imar Garcia-reyes | Radiology | 201 Dowman Dr Ne, Atlanta, GA 30322-4699 | 2014-03-31 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.