Peddireddy, Sailaja
Peddireddy, Sailaja is an individual health care provider with primary practice located at 23077 Greenfield Rd Suite 240, Southfield MI 48075-3709. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Peddireddy, Sailaja can be contacted via phone (248) 809-6402.Contact Information
Primary practice address
23077 Greenfield Rd Suite 240
Southfield MI 48075-3709
Phone: (248) 809-6402
Fax: (248) 809-6417
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | #4301075965 | Michigan |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 4301075965 | Michigan |
Profile Details
| NPI number | 1225215569 |
|---|---|
| LBN Legal business name | Peddireddy, Sailaja |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 29th, 2008 |
| Last updated | Dec 13th, 2013 - about 11 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 | 1225215569 | NPPES |
| Michigan | Other | 20-5485614 | TAX ID |
| Michigan | Other | SP075965 | TAX ID |
| Michigan | Other | 110F336360 | TAX ID |
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