# DR. BASIVI REDDY BADDIGAM

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1386645299
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0800X | Psychiatry Physician | 4301053679 | MI | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | 4301053679 | MI | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | C203526 | CA | Yes |

## Other

- **Enumeration date:** 08/02/2005
- **Last updated:** 07/07/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 045965 | VALUEOPTIONS | MI |
| 01 | — | 0501753 | BCBSM | MI |
| 01 | — | 1082559 | AETNA | — |
| 01 | — | 138868 | CARECHOICES | MI |
| 01 | — | 1536832 | UBH | — |
| 01 | — | 2605021781 | BCBSM | MI |
| 05 | — | 4769047-10 | — | MI |
| 01 | — | 819269000 | MAGELLAN | MI |
| 01 | — | F46966 | HAP | MI |