Individual
DR. RADHIKA G REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
800 M-139, BENTON HARBOR, MI 49022-4843
(269) 927-5400
(269) 927-5493
Mailing address
50 INDUSTRIAL PARK DRIVE, BANGOR, MI 49013-1246
(269) 427-7937
(269) 427-5180
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301080693
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
462273310
—
MI
Enumeration date
02/14/2006
Last updated
09/08/2015
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