Baddigam, Basivi Reddy

Baddigam, Basivi Reddy is an individual health care provider with primary practice located at 43211 Dalcoma Dr Ste. 3, Clinton Twp MI 48038-6309. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Baddigam, Basivi Reddy can be contacted via phone (586) 263-6812.

Contact Information

Primary practice address
43211 Dalcoma Dr Ste. 3 Clinton Twp MI 48038-6309
Phone: (586) 263-6812
Fax: (586) 263-6835
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 4301053679 Michigan
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 4301053679 Michigan

Profile Details

NPI number 1386645299
LBN Legal business name Baddigam, Basivi Reddy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
Last updated Feb 10th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386645299 NPPES
Other 1082559 AETNA
Other 1536832 AETNA
Other 138868 AETNA
Other 045965 AETNA
Other 2605021781 AETNA
Other 0501753 AETNA
MEDICAID 4769047-10 AETNA
Other 819269000 AETNA
Other F46966 AETNA

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