Male or Other

Mr. Podduturu S. Reddy M.D., M.P.H.

Pulmonary Disease Physician in Port Huron, MI(View on Map)

Full Name

Mr. Podduturu Sridhar Reddy M.D., M.P.H.

NPI Number

1003816331

NPI Type

Individual Provider

Gender

Male

Enumeration Date

07/28/2005

Specialties

(Taxonomies)

Code

207RP1001X

Primary Taxonomy

Yes

Licenses

State

Michigan

License Number

4301055094

Contact
Information

Purpose

Mailing
Location

Address

2615 ELECTRIC AVENUE
2615 ELECTRIC AVENUE

City

Port Huron
Port Huron

State

MI
MI

Postal Code

48060
48060

Country

US
US

Telephone Number

(810) 990-8222
(810) 990-8222

Identifiers

Identifier

4153017

Identifier State

MI

Identifier Issuer

Unknown

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

Data last updated by provider on 12/29/2020

Provider Address

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Ali Haidar M.D.

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