Chakradhar C Reddy Md Pc

LBN: Chakradhar C Reddy Md Pc
Chakradhar C Reddy Md Pc is an health care organization with primary practice located at 36232 Garfield Rd , Clinton Twp MI 48035-1128. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Pulmonary Disease. Other Service Providers / Specialist is the primary health care specialty. Chakradhar C Reddy Md Pc can be contacted via phone (586) 791-5210, or through Reddy, Premlatha C via phone (586) 791-5210.

Contact Information

Primary practice address
36232 Garfield Rd Clinton Twp MI 48035-1128
Fax: (586) 791-0049
Website:
Authorized official contact:
Name: Reddy, Premlatha C

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 034413 Michigan
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X

Profile Details

NPI number 1508909128
LBN Legal business name Chakradhar C Reddy Md Pc
DBA Doing business as
Authorized official Reddy, Premlatha C
Entity Organization
Organization subpart 1 No
Enumeration date Feb 14th, 2007
Last updated Nov 4th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508909128 NPPES
Michigan MEDICAID 1508909128
Michigan Other 4301034413

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