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General NPI Number Information
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NPI Number | 1275736993
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Entity Type | Individual
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Provider Name | MADHU C REDDY M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/08/2007
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Last Update Date | 07/26/2022
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Provider Practice Location Address
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Address Line | 11810 NORTHFALL LN STE 1202
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City | ALPHARETTA
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State | GA
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Zip | 30009-7975
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Country | US
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Telephone | 770-663-8766
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Fax | 770-663-8767
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Provider Business Mailing Address
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Address Line | 11810 NORTHFALL LN STE 1202
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City | ALPHARETTA
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State | GA
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Zip | 30009-7975
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Country | US
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Telephone | 770-663-8766
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Fax | 770-663-8767
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 059385
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License Number State | GA
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