SUDHA REDDY


Address: 12123 Conant St, Hamtramck, MI 48212-2718
Phone: 2482474547

SUDHA REDDY (NPI# 1922023340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922023340
Entity Type Individual
Full Name SUDHA REDDY
Credential M.D.
Practice Address 12123 Conant St
Hamtramck
MI 48212-2718
Practice Telephone 2482474547
Practice Fax Number 3138911599
Mailing Telephone 2482474547
Mailing Fax Number 3138911599
Enumeration Date 2006-07-13
Last Update Date 2012-02-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207K00000X Allergy & Immunology 4301078486 MI Allopathic & Osteopathic Physicians
N 207R00000X Internal Medicine 4301078486 MI Allopathic & Osteopathic Physicians

Other Providers SUDHA REDDY

NPI Name Taxonomy Address Enumeration
1679123566 Sudha Anand Reddy Dentist 100 Hillcrest Rd, East Moline, IL 61244-1195 2019-09-12
1407923352 Sudha Reddy Obstetrics & Gynecology 3733 San Dimas St, Bakersfield, CA 93301-1407 2006-11-29
1932208055 Sudha Dharmareddi Reddy Emergency Medicine 750 Town Park Lane, Kaiser Permanente Town Park Medical Center, Kennesaw, GA 30144 2006-09-22
1245250265 Sudha Reddy Pediatrics 1501 Kings Hwy, Department of Pediatrics, Section of Endocrinology, Shreveport, LA 71103-4228 2006-07-20
1306871512 Sudha P Reddy Internal Medicine 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 2006-07-12

Office Location

Street Address 12123 CONANT ST
City HAMTRAMCK
State MI
Zip Code 48212-2718

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629001235 Health First Medical Center Plc Clinic/Center 12123 Conant St, Hamtramck, MI 48212-2718 2006-07-08
1083967996 Srilaxmi Gandla Physical Therapist 12123 Conant St, Hamtramck, MI 48212-2718 2012-10-17
1154354769 Harshavardhan R Krishna Internal Medicine 12123 Conant St, Hamtramck, MI 48212-2718 2006-07-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720689193 Mohammed Louthfur Rahman Nurse Practitioner Hoover Internal Medicine Pllc, 2930 Holbrook St, Hamtramck, MI 48212 2020-11-03
1386243178 Hoover Internal Medicine Pllc Internal Medicine 4067 Georgia St, Hamtramck, MI 48212 2020-10-22
1013514538 Ranim Suliman Dentist 9824 Conant St, Hamtramck, MI 48212 2020-10-07
1942770631 Joann Harrison Nurse Practitioner 17941 St. Aubin Street, Detroit, MI 48212 2018-11-26
1134605298 Advanced Medical Equipment Inc Durable Medical Equipment & Medical Supplies 9740 Conant St Ste 4, Hamtramck, MI 48212 2018-07-12
1477051530 Detroit Green Carrot LLC Foster Care Agency 3829 Alpha, Detroit, MI 48212 2018-01-24
1528595451 Mercy Prakash Nurse Practitioner 3120 Carpenter St. Ste 201, Adult & Pediatric Medicine Pllc, Hamtramck, MI 48212 2017-05-23
1033408935 Hamtramck Pediatrics Clinic/Center 12033 Conant Road, Hamtramck, MI 48212 2011-03-31
1194051557 Niaah Ellis Counselor 4812 E. Mcnichols, Detroit, MI 48212 2009-10-20
1912136797 Latoya T Jackosn Counselor Sunshine Treatment In, 4821 E. Mcnichols, Detroit, MI 48212 2009-07-14
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Taxonomy Information

Taxonomy Code 207K00000X
Grouping Allopathic & Osteopathic Physicians
Classification Allergy & Immunology

Taxonomy Definition

An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1144688854 Hussein Azzam Allergy & Immunology 46325 W 12 Mile Rd Ste 215, Novi, MI 48377 2016-02-09
1417360660 Allergy & Asthma Physicians of Troy, P.C. Allergy & Immunology 4600 Investment Drive, Suite # 110, Suite # 110, Troy, MI 48098-6366 2014-06-05
1861834095 Herald Allen Habenicht Allergy & Immunology 10516 Range Line Rd, Berrien Springs, MI 49103-9203 2013-07-30
1386991461 Lee D. Baylis, M.d. Pllc Allergy & Immunology 5825 S Main St Ste 203, Clarkston, MI 48346-2983 2012-08-08
1134485139 James Austin Womack Allergy & Immunology 2310 W Mcnichols Rd, Detroit, MI 48221 2012-04-04
1023380797 Leonard Samuel Gell Allergy & Immunology 7650 Conservation St Ne, Ada, MI 49301-9522 2012-01-27
1295065126 Richard Kurt Vonmaur Allergy & Immunology 10653 Sudan St, Portage, MI 49002-7373 2009-12-24
1700038684 James C Breneman Allergy & Immunology 10571 Miller Dr, Galesburg, MI 49053-8607 2008-10-22
1245493527 Rachel Karman Kado Allergy & Immunology 20228 Farmington Rd, Livonia, MI 48152-1412 2008-07-07
1992979223 Rasem David Ghannam Allergy & Immunology 15386 Mcleans, Spring Lake, MI 49456-2129 2008-04-17
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Competitor

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City HAMTRAMCK
Zip Code 48212

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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