Individual
MALLU S REDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Credential
MD, AGNP
Contact information
Practice address
105 N HAGGERTY RD, PLYMOUTH, MI 48170-1801
(785) 760-6301
Mailing address
105 N HAGGERTY RD, PLYMOUTH, MI 48170-1801
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
4704287124
MI
Other
Enumeration date
06/19/2026
Last updated
06/19/2026
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