Reddy, Gopal

Reddy, Gopal is an individual health care provider with primary practice located at 455 S Livernois Ste B23, Rochester MI 48307-2578. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Reddy, Gopal can be contacted via phone (248) 651-8888.

Contact Information

Primary practice address
455 S Livernois Ste B23 Rochester MI 48307-2578
Fax: (248) 651-2400
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 4301040965 Michigan

Profile Details

NPI number 1164454161
LBN Legal business name Reddy, Gopal
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Jul 8th, 2007 - about 17 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 1164454161 NPPES
Michigan MEDICAID 3022173

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