Reddy, Pritham Pingli

Reddy, Pritham Pingli is an individual health care provider with primary practice located at 22250 Providence Dr Suite 555, Southfield MI 48075-4825. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Reddy, Pritham Pingli can be contacted via phone (248) 424-5748.

Contact Information

Primary practice address
22250 Providence Dr Suite 555 Southfield MI 48075-4825
Phone: (248) 424-5748
Fax: (248) 443-1706
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 4301075046 Michigan

Profile Details

NPI number 1134332919
LBN Legal business name Reddy, Pritham Pingli
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2007
Last updated Jan 12th, 2015 - about 9 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 1134332919 NPPES
Michigan Other 0P33080 PTAN
Michigan MEDICAID 1587302 PTAN

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