Bongurala, Archana Reddy
Bongurala, Archana Reddy is an individual health care provider with primary practice located at 3535 West 13 Mile Rd South Clinic, Royal Oak MI 48073. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Bongurala, Archana Reddy can be contacted via phone (248) 551-3000.Contact Information
Primary practice address
3535 West 13 Mile Rd South Clinic
Royal Oak MI 48073
Phone: (248) 551-3000
Fax: (248) 551-2032
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 4301112602 | Michigan |
Profile Details
| NPI number | 1942719125 |
|---|---|
| LBN Legal business name | Bongurala, Archana Reddy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2017 |
| Last updated | Jul 21st, 2022 - 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.
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