Individual
DR. SIREEN THEGALAPALLE REDDY
Active
Individual
DR. SIREEN THEGALAPALLE 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
4301106438
MI
2085R0204X
Vascular & Interventional Radiology Physician
4301106438
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036-117273
036-117273
IL
01
—
4301106438
MICHIGAN MEDICAL LICENSE
MI
Enumeration date
08/01/2008
Last updated
12/20/2019
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