Reddy, Sadasiva T

Reddy, Sadasiva T is an individual health care provider with primary practice located at 205 N East Ave Imaging Department, Jackson MI 49201-1753. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Reddy, Sadasiva T can be contacted via phone (517) 783-2612.

Contact Information

Primary practice address
205 N East Ave Imaging Department Jackson MI 49201-1753
Phone: (517) 783-2612
Fax: (517) 783-5991
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 4301037206 Michigan

Profile Details

NPI number 1427059534
LBN Legal business name Reddy, Sadasiva T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Nov 9th, 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 1427059534 NPPES
Michigan MEDICAID 1329251
Michigan Other 4301037206
Michigan Other 300020173
Michigan Other 3003853751

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