Individual
DR. CHADA NATALIE REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7300 CANTON CENTER ROAD, EMERGENCY MEDICINE DEPARTMENT, CANTON, MI 48187-1579
(734) 454-8002
(734) 454-2733
Mailing address
38935 ANN ARBOR ROAD, CREDENTIALING/PAYER CONTRACTING SERVICES, LIVONIA, MI 48150-3397
(734) 632-0175
(734) 632-0182
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301039083
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043298136
—
MI
01
—
11286704
CAQH
—
Enumeration date
01/09/2006
Last updated
03/19/2012
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