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General NPI Number Information
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NPI Number | 1457409740
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Entity Type | Individual
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Provider Name | S. SETHU KUMAR REDDY MD, MBA
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Gender | Male
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Dates
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Enumeration Date | 01/05/2007
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Last Update Date | 06/28/2022
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Provider Practice Location Address
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Address Line | 1280 E CAMPUS DR STE 2104
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City | MT PLEASANT
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State | MI
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Zip | 48859-3256
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Country | US
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Telephone | 989-774-7585
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Fax | 989-774-7590
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Provider Business Mailing Address
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Address Line | 1280 E CAMPUS DR STE 2104
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City | MT PLEASANT
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State | MI
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Zip | 48859-2033
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Country | US
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Telephone | 989-774-7585
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Fax | 989-774-7590
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 35-068469
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License Number State | OH
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