Individual
DR. YESHWANTH REDDY VEDIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2689
(313) 916-1601
Mailing address
2799 W GRAND BLVD, DETROIT, MI 48202-2689
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4351050943
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/25/2023
Last updated
05/27/2023
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