Ravi, Subhaschandra Reddy

Ravi, Subhaschandra Reddy is an sole proprietor health care provider with primary practice located at 30 W Main St , Hartford MI 49057-1005. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Ravi, Subhaschandra Reddy can be contacted via phone (269) 621-2166.

Contact Information

Primary practice address
30 W Main St Hartford MI 49057-1005
Fax: (269) 621-2566
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 4301037460 Michigan

Profile Details

NPI number 1043379803
LBN Legal business name Ravi, Subhaschandra Reddy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 7th, 2006
Last updated Jul 8th, 2007 - about 18 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 1043379803 NPPES
Michigan Other 3508062072 BCBS OF MICHIGAN
Michigan Other 11286631 BCBS OF MICHIGAN
Michigan MEDICAID 1790118 BCBS OF MICHIGAN

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