Reddy, Jenifer Harish T

Reddy, Jenifer Harish T is an individual health care provider with primary practice located at 2301 S Huron Pkwy Suite 2B, Ann Arbor MI 48104-5133. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Reddy, Jenifer Harish T can be contacted via phone (734) 677-0710.

Contact Information

Primary practice address
2301 S Huron Pkwy Suite 2B Ann Arbor MI 48104-5133
Fax: (734) 677-0810
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 4301068548 Michigan

Profile Details

NPI number 1336134006
LBN Legal business name Reddy, Jenifer Harish T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2005
Last updated Jan 20th, 2010 - about 14 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 1336134006 NPPES
Other 0708102061 BCBS

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