Organization Active NPI

Deepti Reddy MD MPH PLLC

  • Public Health & General Preventive Medicine Physician
  • Ann Arbor, MI
National Provider Identifier
1245683549
Registry record updated Jul 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
License
4301098843 Issued in MI
Legal business name
DEEPTI REDDY MD MPH PLLC
Practice address
210 Little Lake Dr Ste 10
Ann Arbor, MI 48103-6218
Phone
(734) 332-9936
Fax
(206) 666-2989
NPI assigned
Jul 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Deepti Reddy, MD
Title
Sole MBR
Phone
(734) 332-9936

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2083P0901X 4301098843 MI Primary

Addresses

Primary practice location

210 Little Lake Dr Ste 10
Ann Arbor, MI 48103-6218

Mailing address

210 Little Lake Dr Ste 10
Ann Arbor, MI 48103-6218
Phone (734) 332-9936

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1469059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469059200000",
    "number": "1245683549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 LITTLE LAKE DR STE 10",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481036218",
            "telephone_number": "734-332-9936",
            "fax_number": "206-666-2989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 LITTLE LAKE DR STE 10",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481036218",
            "telephone_number": "734-332-9936",
            "fax_number": "206-666-2989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEEPTI REDDY MD MPH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-21",
        "last_updated": "2016-07-21",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "DEEPTI",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "734-332-9936",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "MI",
            "license": "4301098843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.