MEDICARE: DR. RAM K REDDY M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	24178	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1912097155
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAM K REDDY M.D.

Provider Business Mailing Address
First Line	:	PO BOX 529
Second Line	:
City	:	ROYSTON
State	:	GA
Zip	:	30662-0529
Country	:	US
Telephone Number	:	706-363-9229
Fax Number	:	706-621-7557

Provider Business Practice Location Address
First Line	:	132 FRANKLIN SPRINGS ST
Second Line	:
City	:	ROYSTON
State	:	GA
Zip	:	30662-4134
Country	:	US
Telephone Number	:	706-245-7371
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/16/2006
Last Update Date	:	05/27/2025

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