Provider Demographics
NPI:1902695687
Name:KANTHALA, NEHA REDDY (MD)
Entity type:Individual
Prefix:
First Name:NEHA
Middle Name:REDDY
Last Name:KANTHALA
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2-12-391 VIDYA NAGAR COLONY KUC
Mailing Address - Street 2:
Mailing Address - City:HANAMKONDA
Mailing Address - State:TELANGANA
Mailing Address - Zip Code:506009
Mailing Address - Country:IN
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:501 REDMOND ROAD
Practice Address - Street 2:
Practice Address - City:ROME
Practice Address - State:GA
Practice Address - Zip Code:30165
Practice Address - Country:US
Practice Address - Phone:706-802-3025
Practice Address - Fax:844-863-6774
Is Sole Proprietor?:No
Enumeration Date:2025-05-01
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program