MEDICARE: ALLERGY AND ASTHMA INSTITUTE

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	207KA0200X	Allergy Physician	60595	GA

General Provider Information

NPI Number	:	1982983326
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLERGY AND ASTHMA INSTITUTE

Provider Business Mailing Address
First Line	:	10700 MEDLOCK BRIDGE RD
Second Line	:	SUITE 102
City	:	DULUTH
State	:	GA
Zip	:	30097-8456
Country	:	US
Telephone Number	:	314-503-5948
Fax Number	:

Provider Business Practice Location Address
First Line	:	10700 MEDLOCK BRIDGE RD
Second Line	:	SUITE 102
City	:	DULUTH
State	:	GA
Zip	:	30097-8456
Country	:	US
Telephone Number	:	314-503-5948
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. LAKSHMI PATURU REDDY
Credential	:	MD
Telephone Number	:	314-503-5948

Provider Enumeration Date	:	08/16/2011
Last Update Date	:	08/16/2011

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