Peddireddy, Ravikumar R
Peddireddy, Ravikumar R is an individual health care provider with primary practice located at G1071 N Ballenger Hwy Suite 206, Flint MI 48504-4453. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Peddireddy, Ravikumar R can be contacted via phone (810) 234-1651.Contact Information
Primary practice address
G1071 N Ballenger Hwy Suite 206
Flint MI 48504-4453
Phone: (810) 234-1651
Fax: (810) 257-0694
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301058453 | Michigan |
Profile Details
| NPI number | 1710989546 |
|---|---|
| LBN Legal business name | Peddireddy, Ravikumar R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2005 |
| Last updated | Dec 12th, 2012 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710989546 | NPPES |
| Michigan | MEDICAID | 3054785 |
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