Individual
SADASIVA T REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4301037206
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1329251
—
MI
01
—
300020173
RAILROAD MEDICARE
—
01
—
3003853751
BCBS OF MICHIGAN
MI
01
—
4301037206
STATE OF MICHIGAN MEDICAL LICENSE
MI
Enumeration date
08/10/2005
Last updated
11/09/2015
Update your record
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