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Individual

DR. DEEPTI G. REDDY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
210 LITTLE LAKE DR STE 10, ANN ARBOR, MI 48103-6218
(734) 332-9936
(206) 666-2989
Mailing address
210 LITTLE LAKE DR STE 10, ANN ARBOR, MI 48103-6218
(734) 332-9936
(206) 666-2989

Taxonomy

Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
4301098843
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0942369
BCBSM PROVIDER PIN
MI
Enumeration date
06/27/2011
Last updated
09/20/2016
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