Individual
DR. RISHINDRA MAMIDI REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 EAST MEDICAL CENTER DR, 2ND FLOOR TAUBMAN CENTER RECP B, ANN ARBOR, MI 48109-5644
(734) 936-8857
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2004014128
MO
208600000X
Surgery Physician
4301093853
MI
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
4301093853
MI
Other
Enumeration date
03/27/2007
Last updated
03/22/2012
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