Individual
SUDARSHAN R REDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
43281 COMMONS, CLINTON TWP, MI 48038
(586) 263-6050
(586) 263-0436
Mailing address
43281 COMMONS, CLINTON TWP, MI 48038
(586) 263-6050
(586) 263-0436
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
4301039506
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15726310
—
MI
05
—
1572763024
—
MI
01
—
2405003712
BCBS
MI
01
—
A73212
HAP
MI
Enumeration date
12/01/2005
Last updated
03/20/2015
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