Reddy, Sushma
Reddy, Sushma is an sole proprietor health care provider with primary practice located at 5744 Lakeshore Rd , Fort Gratiot MI 48059-2815. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Reddy, Sushma can be contacted via phone (586) 871-0473.Contact Information
Primary practice address
5744 Lakeshore Rd
Fort Gratiot MI 48059-2815
Phone: (586) 871-0473
Fax: (810) 385-9216
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 00027166 | Washington |
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | C170924 | California |
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | ME118322 | Florida |
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 4301049962 | Michigan |
Profile Details
| NPI number | 1427044981 |
|---|---|
| LBN Legal business name | Reddy, Sushma |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 21st, 2005 |
| Last updated | Feb 18th, 2021 - 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 | 1427044981 | NPPES |
| Georgia | Other | 110175127 | RAILROAD MEDICARE |
| Georgia | MEDICAID | 2750251 | RAILROAD MEDICARE |
| Georgia | Other | 1107400641 | RAILROAD MEDICARE |
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