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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1710989546 NPPES
Michigan MEDICAID 3054785

Popular Providers