Reddy, Podduturu Sridhar
Reddy, Podduturu Sridhar is an sole proprietor health care provider with primary practice located at 2615 Electric Avenue , Port Huron MI 48060. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Reddy, Podduturu Sridhar can be contacted via phone (810) 990-8222.Contact Information
Primary practice address
2615 Electric Avenue
Port Huron MI 48060
Phone: (810) 990-8222
Fax: (810) 937-5592
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 4301055094 | Michigan |
Profile Details
| NPI number | 1003816331 |
|---|---|
| LBN Legal business name | Reddy, Podduturu Sridhar |
| Credentials | M.D., M.P.H. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 28th, 2005 |
| Last updated | Dec 29th, 2020 - about 4 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 | 1003816331 | NPPES |
| Michigan | MEDICAID | 4153017 |
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