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Individual

RAJAMATHIAS Y REDDY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
RR066814
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
03715
PARAMOUNT PROVIDER #
MI
01
114183
CARE CHOICES PROVIDER #
MI
01
3504600762
BCBS PROVIDER #
MI
05
4125980
MI
01
RR066814
LICENSE NUMBER
MI
Enumeration date
10/12/2006
Last updated
07/09/2007
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