Individual
AMARENDHAR REDDY GOPIREDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
25 MICHIGAN ST NE, SUITE 2000, GRAND RAPIDS, MI 49503-2515
(616) 391-3775
(616) 391-3130
Mailing address
3305 PINE MEADOW DR SE, APT # 201, KENTWOOD, MI 49512-3095
(616) 881-3483
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301091861
MI
Other
Enumeration date
09/09/2008
Last updated
09/09/2008
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