Kishore Reddy Rasamallu in Monroe - Internal Medicine

Kishore Reddy Rasamallu - NPI 1568667863

Kishore Reddy Rasamallu is a Internal Medicine in Monroe, Georgia. Kishore Reddy Rasamallu practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Kishore Reddy Rasamallu is 1568667863. The last update date is 2019-10-05.

Kishore Reddy Rasamallu's current location address is 704 Breedlove Dr, Monroe, Georgia. You can contact this provider via phone number 5127303060 and fax number 8887301925. The mailing address for Kishore Reddy Rasamallu is 704 Breedlove Dr, Monroe, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Kishore Reddy Rasamallu
Address 704 Breedlove Dr, Monroe, Georgia
Phone Number 5127303060
Fax Number 8887301925
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1568667863
Provider Enumeration Date 2007-06-18
Last Updated Date 2019-10-05

Provider Mailing Address Detail

Address 704 Breedlove Dr
City Monroe
State Georgia (GA)
Post Code 306552054
Phone Number 5127303060
Fax Number 8887301925

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No MD432046
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1020162720001 PA --
2864090000 PA KEYSTONE IBC
2864090000 PA PERSONAL CHOICE
39170 PA HEALTH PARTNERS
1988201 PA HIGHMARK BLUE SHIELD
1747437 PA AETNA
30046047 PA KEYSTONE MERCY

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FAQs about Kishore Reddy Rasamallu

What is the unique 10-digit identification code assigned to Kishore Reddy Rasamallu by the Centers for Medicare & Medicaid Services?

The Kishore Reddy Rasamallu has been issued the NPI (National Provider Identifier) 1568667863, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Kishore Reddy Rasamallu's facilities are geographically located?

The facilities of Kishore Reddy Rasamallu are physically situated at the following location: 704 Breedlove Dr, Monroe, GA, 306552054.

What is Kishore Reddy Rasamallu's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Kishore Reddy Rasamallu is Internal Medicine, and the taxonomy classification code that categorizes this area of expertise is 207R00000X.

On what date was the 1568667863 assigned to Kishore Reddy Rasamallu?

The Kishore Reddy Rasamallu was issued its 1568667863 on 2007-06-18, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the Kishore Reddy Rasamallu's information last updated?

The Kishore Reddy Rasamallu's information was last updated on 2019-10-05.

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