| Gs Reddy Inc | |
|
416 Pirkle Ferry Rd Ste G100 Cumming GA 30040-9202 | |
| (770) 205-5720 | |
| (770) 205-5841 |
| Full Name | Gs Reddy Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 416 Pirkle Ferry Rd, Cumming, Georgia |
| Authorized Official Name and Position | Suresh R Gudur (CEO) |
| Authorized Official Contact | 7702055720 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gs Reddy Inc 416 Pirkle Ferry Rd Ste G100 Cumming GA 30040-9202 Ph: (770) 205-5720 | Gs Reddy Inc 416 Pirkle Ferry Rd Ste G100 Cumming GA 30040-9202 Ph: (770) 205-5720 |
| NPI Number | 1821326547 |
|---|---|
| Provider Enumeration Date | 11/19/2009 |
| Last Update Date | 12/13/2010 |
| Medicare PECOS PAC ID | 3375682800 |
|---|---|
| Medicare Enrollment ID | O20091123000378 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821326547 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 042590 (Georgia) | Primary |
| Provider Name | Suresh R Gudur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235122920 PECOS PAC ID: 5698678688 Enrollment ID: I20040128000598 |
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