Reddy, Prabhaker Nallu

Reddy, Prabhaker Nallu is an individual health care provider with primary practice located at 43331 Commons Dr , Clinton Township MI 48038-1109. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Reddy, Prabhaker Nallu can be contacted via phone (586) 263-5410.

Contact Information

Primary practice address
43331 Commons Dr Clinton Township MI 48038-1109
Phone: (586) 263-5410
Fax: (586) 263-7131
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 4301034415 Michigan

Profile Details

NPI number 1659430437
LBN Legal business name Reddy, Prabhaker Nallu
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2006
Last updated Aug 2nd, 2010 - about 16 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 1659430437 NPPES
Michigan MEDICAID 3426512
Michigan Other 1316031339

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