Sudarshan R Reddy, MD is a
Plastic Surgery physician based in Clinton Twp, Michigan. Sudarshan R Reddy is licensed to practice in Michigan (license number 4301039506) and his current practice location is 43281 Commons, Clinton Twp, Michigan. He can be reached at his office (for appointments etc.) via phone at
(586) 263-6050.
NPI number for Sudarshan R Reddy is 1073597217 and his current mailing address is 43281 Commons, Clinton Twp, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1073597217.
Physician's Profile
| Full Name | Sudarshan R Reddy |
|---|
| Gender | Male |
|---|
| Speciality | Plastic Surgery |
|---|
| Location | 43281 Commons, Clinton Twp, Michigan |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1073597217
- Provider Enumeration Date: 12/01/2005
- Last Update Date: 03/20/2015
Medical Identifiers
Medical identifiers for Sudarshan R Reddy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073597217 | NPI | - | NPPES |
| 1572763024 | Medicaid | MI | |
| A73212 | Other | MI | HAP |
| 15726310 | Medicaid | MI | |
| 2405003712 | Other | MI | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208200000X | Plastic Surgery | 4301039506 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sudarshan R Reddy is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Sudarshan R Reddy, MD
43281 Commons,
Clinton Twp, MI 48038
Ph: (586) 263-6050 | Sudarshan R Reddy, MD
43281 Commons,
Clinton Twp, MI 48038
Ph: (586) 263-6050 |
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