Raveena Reddy
Raveena Reddy is a Pathology in Jackson, Mississippi. Qualified in 2004, 22 years ago. Practices with Wellstar Medical Group LLC, a 3,072-clinician group and accepts Medicare assignment. Licensed in Georgia, Mississippi and South Carolina.
- Years since qualifying
- 22
- Licensed in
- GA, MS, SC
- In the registry since
- 2014
- Specialties on file
- 3
Practice location Address checks out
2500 N State StJackson, MS 39216-4500
Phone: (601) 984-1540
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Anatomic Pathology & Clinical Pathology Physician (primary) | Taxonomy 207ZP0102X · Licence 74333 (GA) |
|---|---|
| Clinical Pathology Physician | Taxonomy 207ZC0006X · Licence 783L (MS) |
| Anatomic Pathology & Clinical Pathology Physician | Taxonomy 207ZP0102X · Licence 37720 (SC) |
Record details
| NPI number | 1760808109 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | March 10, 2014 |
| Last updated in NPPES | September 14, 2021 |
| Certification date | September 14, 2021 |
| Mailing address | 5665 Peachtree Dunwoody Rd, Atlanta, GA 30342-1764 |
Medicare enrollment
| Medicare specialty | PATHOLOGY |
|---|---|
| Medical school | OTHER |
| Graduated | 2004 (22 years in practice) |
| Group practice | Wellstar Medical Group Llc — 3072 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 7 on file with Medicare |
Other providers in Jackson
-
Youssef Al Hmada
2500 N State St, Jackson, MS 39216-4500 · (601) 984-1540
-
Dava Sue Cleveland, DO
2466 Flowood Dr, Jackson, MS 39232-9019 · (601) 815-5700