Individual
DR. DEEPAK KOLAGATLA REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
38935 ANN ARBOR RD, LIVONIA, MI 48150-3397
(734) 632-0175
Mailing address
5529 GREENWAY DR, TRENTON, MI 48183-7209
(734) 775-7388
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5101016754
MI
Other
Enumeration date
03/30/2007
Last updated
01/20/2010
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