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Contact Information

SUDARSHAN R REDDY, MD
43281 COMMONS
CILNTON TOWNSHIP, MI48038
 Phone: 586-263-6050
 Fax: 586-263-0436
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for SUDARSHAN R REDDY · (Male)

NPI Number 1073597217
Status Active
Credentials MD
Entity Individual
Enumeration date 12/01/2005
Last updated 03/20/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • MI License # 4301039506
  • MI Medicaid 15726310
  • MI Medicaid 1572763024
  • MI Other 2405003712 BCBS
  • MI Other A73212 HAP
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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