Pritham Pingli Reddy
Vascular Surgeon
22250 Providence Dr Suite 555
Southfield
, Michigan 48075-4825
Pritham Pingli Reddy
Vascular Surgeon
22250 Providence Dr Suite 555
Southfield
, Michigan 48075-4825
(248) 443-1706
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About
Features
Specialties
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Pritham Pingli Reddy
- 22250 Providence Drive Suite 555
- Southfield, MI
- Zip : 48075
- Fax : (248) 443-1706
- Phone : (248) 424-5748
Second Address
- Pritham Pingli Reddy
- 22250 Providence Dr Suite 555
- Southfield, MI
- Zip : 48075-4825
- Fax : (248) 443-1706
- Phone : (248) 424-5748
Reviews
FAQs
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What type of doctor is Pritham Pingli Reddy
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Is Pritham Pingli Reddy a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0129X | Vascular Surgeon | 4301075046 | MI |
National Provider Identifier
| NPI | 1134332919 |
|---|---|
| Provider Name | Pritham Pingli Reddy |
| First Address | Southfield, MI 48075 |
| Second Address | Southfield, MI 48075-4825 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/05/2007 |
| Last Update Date | 12/01/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0P33080 | PTAN (01) | MI |
| 1587302 | (05) | MI |
| U10229 | (02) | MI |
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.