Individual
DR. CHANDRA S REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1854 W AUBURN RD STE 100B, ROCHESTER HILLS, MI 48309-3868
(248) 656-5800
(248) 656-5802
Mailing address
1854 W AUBURN RD STE 100B, ROCHESTER HILLS, MI 48309-3868
(248) 656-5800
(248) 656-5802
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
CR031554
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1295023547
GROUP NPI (MICHIGAN HEALTHCARE PROFESSIONALS PC)
MI
05
—
4601887
—
MI
01
—
MI4989
GROUP PTAN
MI
Enumeration date
07/12/2006
Last updated
03/17/2018
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