Individual
NITHIN S PEDDIREDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4100 JOHN R ST, DETROIT, MI 48201-2013
(800) 527-6266
Mailing address
4100 JOHN R ST, DETROIT, MI 48201-2013
(800) 527-6266
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
35.147752
OH
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
4301511303
MI
Other
Enumeration date
05/31/2018
Last updated
05/03/2024
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