Individual
MRS. KALA REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
168 N CASEVILLE RD, PIGEON, MI 48755-9704
(989) 453-2141
(989) 453-4450
Mailing address
168 N CASEVILLE RD, PIGEON, MI 48755-9704
(989) 453-5210
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301060834
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100018
SHN HOSPITAL GLHP
MI
05
—
2994767
—
MI
05
—
3162094
—
MI
Enumeration date
05/19/2006
Last updated
07/14/2014
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