Provider Demographics
NPI:1588741888
Name:REDDY, SUMANA GAVVA (DO)
Entity type:Individual
Prefix:DR
First Name:SUMANA
Middle Name:GAVVA
Last Name:REDDY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:6600 PEACHTREE DUNWOODY RD STE 325
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30328-6773
Mailing Address - Country:US
Mailing Address - Phone:404-876-1906
Mailing Address - Fax:
Practice Address - Street 1:7823 SPIVEY STATION BLVD STE 310
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:GA
Practice Address - Zip Code:30236
Practice Address - Country:US
Practice Address - Phone:770-996-1122
Practice Address - Fax:770-907-1429
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2020-11-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA062760207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism