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Contact Information

VLSR MADIREDDY MD PC
4129 OKEMOS RD
STE 6
OKEMOS, MI48864-2822
 Phone: 517-803-4544
 Fax: 517-803-4509
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for VLSR MADIREDDY MD PC · (Female)

NPI # 1023267945
Status Active
Credentials
Entity Individual
Enumeration date 09/16/2008
Last updated 12/09/2013 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers
  • MI License # 4301084372
  • MI Medicaid 10232267945
  • Other DO5269 RR MCR
  • MI Other 080F369400 BCBSM
  • MI Other 0C30642 BCBSM
  • MI Other 0C30644 BCBSM NPP GRP
  • MI Other SM084372 STATE LIC#
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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