Organization
PAVAN G REDDY MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAVAN G REDDY MD (OWNER)
(734) 281-4197
Entity
Organization
Contact information
Practice address
14500 NORTHLINE RD, SOUTHGATE, MI 48195-2402
(734) 281-4197
(734) 282-0093
Mailing address
14500 NORTHLINE RD, SOUTHGATE, MI 48195-2402
(734) 281-4197
(734) 282-0093
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
4301063732
MI
Other
Enumeration date
05/07/2008
Last updated
05/07/2008
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