Kommareddi, Prasad
Kommareddi, Prasad is an sole proprietor health care provider with primary practice located at 8426 Warwick Groves Court , Grand Blanc MI 48439. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Kommareddi, Prasad can be contacted via phone (810) 869-9808.Contact Information
Primary practice address
8426 Warwick Groves Court
Grand Blanc MI 48439
Phone: (810) 869-9808
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301039876 | Michigan |
Profile Details
| NPI number | 1669564498 |
|---|---|
| LBN Legal business name | Kommareddi, Prasad |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 29th, 2006 |
| Last updated | Jun 21st, 2023 - about 3 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 | 1669564498 | NPPES |
| Michigan | MEDICAID | 3235762 |
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