Reddy, Indira

Reddy, Indira is an individual health care provider with primary practice located at 37399 Garfield Rd Suite 203, Clinton Twp MI 48036-3659. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Reddy, Indira can be contacted via phone (586) 228-3991.

Contact Information

Primary practice address
37399 Garfield Rd Suite 203 Clinton Twp MI 48036-3659
Phone: (586) 228-3991
Fax: (586) 228-2901
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 43010055130 Michigan

Profile Details

NPI number 1760480883
LBN Legal business name Reddy, Indira
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2005
Last updated Jul 29th, 2008 - 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 1760480883 NPPES
Michigan MEDICAID 4391046

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