Organization Active NPI

Rika Medical Clinic

Doing business as Sai Medical Center

  • Pediatrics Physician
  • Norcross, GA
National Provider Identifier
1528237492
Registry record updated Dec 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
26530 Issued in GA
Legal business name
RIKA MEDICAL CLINIC
Doing business as
Sai Medical Center
Practice address
6131 S Norcross Tucker Rd
Suite 6
Norcross, GA 30093-5536
Phone
(678) 205-1959
Fax
(678) 205-2092
NPI assigned
Feb 26, 2008
Last updated
Dec 7, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Ravi Reddy Manchireddy, MR
Title
Owner
Phone
(678) 289-4920

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 050585 GA
Family Medicine Physician 207Q00000X 27368 GA
Pediatrics Physician 208000000X 26530 GA Primary

Addresses

Primary practice location

6131 S Norcross Tucker Rd
Suite 6
Norcross, GA 30093-5536

Mailing address

150 Medical Blvd
Suite C
Stockbridge, GA 30281-5053
Phone (678) 289-4920

Other names 1

  • SAI MEDICAL CENTER Doing business as

National Provider Directory

National Provider Directory

Locations

6185 Buford Hwy
Ste E400
Peachtree Corners, GA 30071
Phone (678) 421-9700

2157 Idlewood Rd
Tucker, GA 30084
Phone (770) 934-5994

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354838400000",
    "number": "1528237492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 MEDICAL BLVD",
            "address_2": "SUITE C",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302815053",
            "telephone_number": "678-289-4920",
            "fax_number": "678-289-4942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6131 S NORCROSS TUCKER RD",
            "address_2": "SUITE 6",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300935536",
            "telephone_number": "678-205-1959",
            "fax_number": "678-205-2092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIKA MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-26",
        "last_updated": "2012-12-07",
        "status": "A",
        "authorized_official_last_name": "MANCHIREDDY",
        "authorized_official_first_name": "RAVI",
        "authorized_official_middle_name": "REDDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-289-4920",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MR"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "GA",
            "license": "050585",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "27368",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "26530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAI MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norcross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.