Organization
RAJAMATHIAS Y REDDY MD, PLLC
Active
Other names
RAJAMATHIAS REDDY MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAJAMATHIAS Y REDDY MD (PHYSICIAN)
(517) 263-7337
Entity
Organization
Contact information
Practice address
901 KIMOLE LN STE B3, ADRIAN, MI 49221-1491
(517) 263-7337
(517) 263-6150
Mailing address
901 KIMOLE LN STE B3, ADRIAN, MI 49221-1491
(517) 263-7337
(517) 263-6150
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
RR066814
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03715
PARAMOUNT
MI
01
—
3504600762
BLUE CROSS BLUE SHIELD OF MICHIGAN
MN
05
—
4125980
—
MI
01
—
7000323531
PRIORITY HEALTH
—
01
—
RR066814
LICENSE NUMBER
MI
Enumeration date
06/10/2011
Last updated
06/10/2011
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