Reddy, Radhika G
Reddy, Radhika G is an individual health care provider with primary practice located at 800 M-139 , Benton Harbor MI 49022-4843. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Reddy, Radhika G can be contacted via phone (269) 927-5400.Contact Information
Primary practice address
800 M-139
Benton Harbor MI 49022-4843
Phone: (269) 927-5400
Fax: (269) 927-5493
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 4301080693 | Michigan |
Profile Details
| NPI number | 1386618684 |
|---|---|
| LBN Legal business name | Reddy, Radhika G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 14th, 2006 |
| Last updated | Sep 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386618684 | NPPES |
| Michigan | MEDICAID | 462273310 |
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