Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207YP0228X | Pediatric Otolaryngology | 4301092209 | MI |
Y | 208D00000X | General Practice Physician | 4301092209 | MI |
NPI | 1437387297 |
---|---|
Provider Name | Dr. Ranga Reddy Sirigiri |
First Address | Troy, MI 48083-5135 |
Second Address | Troy, MI 48083-5135 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2009 |
Last Update Date | 27/08/2019 |