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NPI Code Detail

MEDICARE: SUSHMA REDDYCHERLA MD

MEDICARE: SUSHMA REDDYCHERLA 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
1207RN0300XNephrology Physician291967NY

General Provider Information

NPI Number : 1659626349
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSHMA REDDYCHERLA MD
Provider Business Mailing Address
First Line : 275 COLLIER RD NW STE 290
Second Line :
City : ATLANTA
State : GA
Zip : 30309-1700
Country : US
Telephone Number : 404-352-3300
Fax Number :
Provider Business Practice Location Address
First Line : 1275 HIGHWAY 54 W STE 100
Second Line :
City : FAYETTEVILLE
State : GA
Zip : 30214-4538
Country : US
Telephone Number : 678-817-5542
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2012
Last Update Date : 01/20/2026

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Directions to “ SUSHMA REDDYCHERLA MD” Practice Location

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