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General NPI Number Information
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NPI Number | 1851787782
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Entity Type | Individual
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Provider Name | SUNIL SANDADI REDDY M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/07/2015
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 4210 SAINT ANTOINE ST UNIVERSITY HEALTH CENTER 7C
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City | DETROIT
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State | MI
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Zip | 48201-2108
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Country | US
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Telephone | 313-577-5222
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Fax | 313-577-5217
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Provider Business Mailing Address
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Address Line | 1300 S MIAMI AVE UNIT 4109
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City | MIAMI
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State | FL
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Zip | 33130-4494
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Country | US
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Telephone | 740-972-9277
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Fax |
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 46040
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License Number State | OK
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Taxonomy #3
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | T4832
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | MD224747
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License Number State | OR
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