Individual
MR. PODDUTURU SRIDHAR REDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H.
Contact information
Practice address
2615 ELECTRIC AVENUE, PORT HURON, MI 48060
(810) 990-8222
(810) 937-5592
Mailing address
2615 ELECTRIC AVENUE, PORT HURON, MI 48060
(810) 990-8222
(810) 937-5592
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
4301055094
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4153017
—
MI
Enumeration date
07/28/2005
Last updated
12/29/2020
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