Individual
DR. NARENDER REDDY THATIKONDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9900 W M 21 STE 101, OVID, MI 48866-9798
(989) 834-2243
(989) 834-5478
Mailing address
9900 W M 21 STE 101, OVID, MI 48866-9798
(989) 834-2243
(989) 834-5478
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301104434
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023215886
—
MI
Enumeration date
06/27/2007
Last updated
08/02/2019
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