Reddy, Sudarshan R

Reddy, Sudarshan R is an sole proprietor health care provider with primary practice located at 43281 Commons , Clinton Twp MI 48038. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Reddy, Sudarshan R can be contacted via phone (586) 263-6050.

Contact Information

Primary practice address
43281 Commons Clinton Twp MI 48038
Phone: (586) 263-6050
Fax: (586) 263-0436
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 4301039506 Michigan

Profile Details

NPI number 1073597217
LBN Legal business name Reddy, Sudarshan R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 1st, 2005
Last updated Mar 20th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073597217 NPPES
Michigan MEDICAID 1572763024
Michigan Other A73212
Michigan MEDICAID 15726310
Michigan Other 2405003712

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