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Contact Information

PODDUTURU S REDDY, M.D., M.P.H.
2615 ELECTRIC AVENUE
PORT HURON, MI48060
 Phone: 810-990-8222
 Fax: 810-937-5592
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for PODDUTURU S REDDY · (Male)

NPI # 1003816331
Status Active
Credentials M.D., M.P.H.
Entity Individual
Enumeration date 07/28/2005
Last updated 12/29/2020 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • MI License # 4301055094
  • MI Medicaid 4153017
Hospital affiliation(s)
  • HARBOR BEACH COMMUNITY HOSPITAL - (Critical Access)
    210 S FIRST ST
    HARBOR BEACH, MI 48441
  • PORT HURON HOSPITAL - (Acute Care)
    1221 PINE GROVE AVE
    PORT HURON, MI 48060
  • ST JOHN RIVER DISTRICT HOSPITAL - (Acute Care)
    4100 RIVER RD
    EAST CHINA, MI 48054
  • ST JOSEPH MERCY PORT HURON - (Acute Care)
    2601 ELECTRIC AVENUE
    PORT HURON, MI 48060
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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