Female

Dr. Kavitha R. Reddy MD

Physical Medicine & Rehabilitation Physician in Flint, MI(View on Map)

Full Name

Dr. Kavitha R Reddy MD

NPI Number

1174515084

NPI Type

Individual Provider

Gender

Female

Enumeration Date

08/17/2005

Specialties

(Taxonomies)

Code

208100000X

Primary Taxonomy

Yes

Licenses

State

Michigan

License Number

4301085040

Contact
Information

Purpose

Mailing
Location

Address

1311 S LINDEN RD STE A
1311 S LINDEN RD STE A

City

Flint
Flint

State

MI
MI

Postal Code

48532-3428
48532-3428

Country

US
US

Telephone Number

(810) 230-1210
(810) 230-1210

Identifiers

Identifier

17429
4781201
P00279740
0-523-377-0
142459
25050
2005005836
KR085040

Identifier State

MI
MI
MI
Unknown
MI
MI
MO
MI

Identifier Issuer

M-CARE
Unknown
RAILROAD MEDICARE
ECFMG #
CARE CHOICES-PREFERRED
BLUE CARE NETWORK
STATE LICENSE
BCBSM

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 09/14/2020

Provider Address

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