Organization
UROSEV-REDDY MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ILIJA UROSEV MD (PRESIDENT)
(586) 776-5777
Entity
Organization
Contact information
Practice address
21225 KELLY RD, STE 3, EASTPOINTE, MI 48021-3100
(586) 776-5777
(586) 776-9451
Mailing address
21225 KELLY RD, STE 3, EASTPOINTE, MI 48021-3100
(586) 776-5777
(586) 776-9451
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1189553
—
MI
05
—
1190840
—
MI
01
—
1503894
BCBSM
MI
01
—
1505739
BCBSM
MI
Enumeration date
09/06/2006
Last updated
08/22/2020
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