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:
Health care specialties
| Specialty | Code | License # | 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 16 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 | 1760480883 | NPPES |
| Michigan | MEDICAID | 4391046 |
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