Individual
DR. PAVAN GARLAPATY REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0408279532
BL;UE CROSS PIN #
MI
Enumeration date
05/05/2006
Last updated
12/13/2018
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