SUDHA REDDY (NPI# 1922023340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 |
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 |
Street Address |
12123 CONANT ST |
City | HAMTRAMCK |
State | MI |
Zip Code | 48212-2718 |
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 |
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 |
Find all providers in zip 48212 |
Taxonomy Code | 207K00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Allergy & Immunology |
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. |
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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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.