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1144225293

NPI Code Detail

MEDICARE: DR. BHAGAT K. REDDY MD

MEDICARE: DR. BHAGAT K. REDDY MD

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	207RC0000X	Cardiovascular Disease Physician	055012	GA
2	207RI0011X	Interventional Cardiology Physician	055012	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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144225293
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BHAGAT K. REDDY MD

Provider Business Mailing Address
First Line	:	6105 PEACHTREE DUNWOODY RD STE A150
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30328-5944
Country	:	US
Telephone Number	:	404-996-6596
Fax Number	:

Provider Business Practice Location Address
First Line	:	14244 HIGHWAY 515 N STE 100
Second Line	:
City	:	ELLIJAY
State	:	GA
Zip	:	30536-2029
Country	:	US
Telephone Number	:	404-996-6596
Fax Number	:

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

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	11/06/2023

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Directions to “ DR. BHAGAT K. REDDY MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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