| Reddy & Kunadi Md Plc | |
|
414 Perry Rd Grand Blanc MI 48439-1467 | |
| (810) 694-8423 | |
| (810) 694-9280 |
| Full Name | Reddy & Kunadi Md Plc |
|---|---|
| Speciality | Family Medicine |
| Location | 414 Perry Rd, Grand Blanc, Michigan |
| Authorized Official Name and Position | Uday Kunadi (CO OWNER) |
| Authorized Official Contact | 8106948423 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Reddy & Kunadi Md Plc 414 Perry Rd Grand Blanc MI 48439-1467 Ph: (810) 694-8423 | Reddy & Kunadi Md Plc 414 Perry Rd Grand Blanc MI 48439-1467 Ph: (810) 694-8423 |
| NPI Number | 1063868636 |
|---|---|
| Provider Enumeration Date | 05/12/2016 |
| Last Update Date | 05/12/2016 |
| Medicare PECOS PAC ID | 0749579191 |
|---|---|
| Medicare Enrollment ID | O20160525001062 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063868636 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Uday R Kunadi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538191093 PECOS PAC ID: 5698678027 Enrollment ID: I20040131000264 |
| Provider Name | Kunadi S Reddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467554139 PECOS PAC ID: 5193868693 Enrollment ID: I20100205000450 |
| Provider Name | Erika K Haddon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174932594 PECOS PAC ID: 5496077307 Enrollment ID: I20141204000209 |
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