Individual
KAKUMANU PRASHANTH REDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6245 INKSTER RD, GARDEN CITY, MI 48135-4001
(734) 458-3216
Mailing address
6940 N INKSTER RD APT 214H, DEARBORN HEIGHTS, MI 48127-1872
(734) 238-9216
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4351050093
MI
Other
Enumeration date
08/04/2022
Last updated
08/04/2022
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