Reddy, Pritham Pingli
Reddy, Pritham Pingli is an individual health care provider with primary practice located at 22250 Providence Dr Suite 555, Southfield MI 48075-4825. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Reddy, Pritham Pingli can be contacted via phone (248) 424-5748.Contact Information
Primary practice address
22250 Providence Dr Suite 555
Southfield MI 48075-4825
Phone: (248) 424-5748
Fax: (248) 443-1706
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 4301075046 | Michigan |
Profile Details
| NPI number | 1134332919 |
|---|---|
| LBN Legal business name | Reddy, Pritham Pingli |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 8th, 2007 |
| Last updated | Jan 12th, 2015 - about 11 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 | 1134332919 | NPPES |
| Michigan | Other | 0P33080 | PTAN |
| Michigan | MEDICAID | 1587302 | PTAN |
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