Healthcare Provider Details

I. General information

NPI: 1720728785
Provider Name (Legal Business Name): APEKSHA REDDY DPM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2022
Last Update Date: 07/14/2025
Certification Date: 07/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2295 PARKLAKE DR NE STE 150
ATLANTA GA
30345-2825
US

IV. Provider business mailing address

2295 PARKLAKE DR NE STE 150
ATLANTA GA
30345-2825
US

V. Phone/Fax

Practice location:
  • Phone: 770-938-5974
  • Fax: 770-939-7393
Mailing address:
  • Phone: 770-938-5974
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberPOD305064
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberPOD305064
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: