# PRITHAM P. REDDY, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PRITHAM REDDY M.D.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1235442732
- **Legal business name:** PRITHAM REDDY M.D.
- **Authorized official:** PRITHAM P. REDDY MD (PRESIDENT)
- **Authorized official phone:** (248) 424-5748

## Contact information

- **Practice address:** 22250 PROVIDENCE DRIVE, SUITE \#555, SOUTHFIELD, MI 48152
- **Practice address phone:** (248) 424-5748
- **Practice address fax:** (248) 443-1706
- **Mailing address:** 22250 PROVIDENCE DR, SUITE 555, SOUTHFIELD, MI 48075-4825
- **Mailing address phone:** (248) 424-5748
- **Mailing address fax:** (248) 443-1706

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | 4301075046 | MI | Yes |

## Other

- **Enumeration date:** 07/26/2010
- **Last updated:** 07/26/2010