Individual provider · Type 1 NPI
Puli Pravin Reddy, MD
Plastic and Reconstructive Surgery Physician · Atlanta, GA
NPI number
1487835260
Active
Practice location
1418 Dresden Drive, 120
Atlanta, GA 30319
Fax (404) 795-0461
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Plastic Surgery Physician | 208200000X | 240739 (NY) |
| Plastic and Reconstructive Surgery Physician Primary | 2086S0122X | 046220 (GA) |
Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.
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About NPI 1487835260
Puli Pravin Reddy, MD's National Provider Identifier is 1487835260, issued on Nov 20, 2007. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Atlanta, GA. The record was last updated on Apr 12, 2018.