Nandalur, Narayana Reddi

Nandalur, Narayana Reddi is an sole proprietor health care provider with primary practice located at 43171 Dalcoma Dr Suite 1, Clinton Twp MI 48038-6307. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Nandalur, Narayana Reddi can be contacted via phone (586) 263-9600.

Contact Information

Primary practice address
43171 Dalcoma Dr Suite 1 Clinton Twp MI 48038-6307
Phone: (586) 263-9600
Fax: (586) 263-9336
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 4301049885 Michigan

Profile Details

NPI number 1720196579
LBN Legal business name Nandalur, Narayana Reddi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 29th, 2006
Last updated Mar 16th, 2011 - about 14 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 1720196579 NPPES
Other 0605005782 BCBS
MEDICAID 103408167 BCBS

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