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Organization
RAVIKUMAR R PEDDIREDDY MD PC
Active
Organization
RAVIKUMAR R PEDDIREDDY MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRADLEY ESHBAUGH (SECRETARY)
(810) 239-6731
Entity
Organization
Contact information
Practice address
G1071 N BALLENGER HWY, SUITE 206, FLINT, MI 48504-4453
(810) 234-1651
(810) 234-5959
Mailing address
G1071 N BALLENGER HWY, SUITE 206, FLINT, MI 48504-4453
(810) 234-1651
(810) 234-5959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301058453
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3054785
—
MI
Enumeration date
10/30/2007
Last updated
07/12/2024
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