Podduturu Sridhar Reddy, M.D., M.P.H.
Internal Medicine, Pulmonary Disease in Port Huron, MI. Individual provider (NPI-1).
NPI number1003816331
StatusActive
Last updated in NPPESDec 29, 2020
Details
- NPI
- 1003816331
- Entity type
- Individual (NPI-1)
- Name
- Mr. Podduturu Sridhar Reddy
- Credential
- M.D., M.P.H.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 28, 2005
- Certification date
- Dec 29, 2020
- Last updated
- Dec 29, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RP1001X | Internal Medicine, Pulmonary Disease | 4301055094 | MI | Yes |
Other names
- Sridhar Podduturu Reddy (Professional Name)
Practice location
2615 Electric AvenuePort Huron, MI 48060
Phone 810-990-8222 · Fax 810-937-5592
Mailing address
2615 Electric AvenuePort Huron, MI 48060
Phone 810-990-8222 · Fax 810-937-5592
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