Active NPI
Preethi Ratakonda, MD
- Diagnostic Radiology Physician
- Atlanta, GA
National Provider Identifier
1720366339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 75877
- Practice address
- 59 Executive Park South NE
Atlanta, GA 30329-2208 - Phone
- (404) 778-5834
- NPI assigned
- Jul 31, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 75877 | GA | Primary |
Addresses
Primary practice location
59 Executive Park South NE
Atlanta, GA 30329-2208
Mailing address
59 Executive Park South NE
Atlanta, GA 30329-2208
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 75877 | GA | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472342400000",
"number": "1720366339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "59 EXECUTIVE PARK SOUTH NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303292208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "59 EXECUTIVE PARK SOUTH NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303292208",
"telephone_number": "404-778-5834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RATAKONDA",
"first_name": "PREETHI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-31",
"last_updated": "2016-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "GA",
"license": "75877",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.