Dr. Samba Siva Reddy Bathula
Otolaryngologist (ENT Doctor) Pediatric Otolaryngology
4160 John R St Ste 1007 Dmc Ent-Harper Professional Building
Detroit
, Michigan 48201-2017
Dr. Samba Siva Reddy Bathula
Otolaryngologist (ENT Doctor) Pediatric Otolaryngology
4160 John R St Ste 1007 Dmc Ent-Harper Professional Building
Detroit
, Michigan 48201-2017
(313) 966-9470
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About
Features
Specialties
- Otolaryngologist (ENT Doctor)
- Pediatric Otolaryngology
Languages spoken
- English
Location
First Address
- Dr. Samba Siva Reddy Bathula
- 4160 John R St Ste 1007 Dmc Ent-Harper Professional Building
- Detroit, MI
- Zip : 48201-2017
- Fax : (313) 966-9470
- Phone : (313) 966-9471
Second Address
- Dr. Samba Siva Reddy Bathula
- 4160 John R St Ste 1007 Dmc Ent-Harper Professional Building
- Detroit, MI
- Zip : 48201-2017
- Fax : (313) 966-9470
- Phone : (313) 966-9471
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Is Dr. Samba Siva Reddy Bathula a sole practitioner?
Is Dr. Samba Siva Reddy Bathula accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 4301096231 | MI |
| N | 207YP0228X | Pediatric Otolaryngology | 4301096231 | MI |
National Provider Identifier
| NPI | 1013223239 |
|---|---|
| Provider Name | Dr. Samba Siva Reddy Bathula |
| First Address | Detroit, MI 48201-2017 |
| Second Address | Detroit, MI 48201-2017 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/08/2010 |
| Last Update Date | 30/05/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.