| Dr Deepti G Reddy, MD | |
| 210 Little Lake Dr Ste 10, Ann Arbor, MI 48103-6218 | |
| (734) 332-9936 | |
| (206) 666-2989 | 
| Full Name | Dr Deepti G Reddy | 
|---|---|
| Gender | Female | 
| Speciality | Preventive Medicine - Public Health & General Preventive Medicine | 
| Location | 210 Little Lake Dr Ste 10, Ann Arbor, Michigan | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1740576800 | NPI | - | NPPES | 
| 0942369 | Other | MI | BCBSM PROVIDER PIN | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | 4301098843 (Michigan) | Primary | 
| Entity Name | Patients First Lake Ella Medical Center P A | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1164524039 PECOS PAC ID: 4082760566 Enrollment ID: O20090924000578 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Deepti G Reddy, MD 210 Little Lake Dr Ste 10, Ann Arbor, MI 48103-6218 Ph: (734) 332-9936 | Dr Deepti G Reddy, MD 210 Little Lake Dr Ste 10, Ann Arbor, MI 48103-6218 Ph: (734) 332-9936 | 
| Jeffrey Evans Terrell, MD Preventive Medicine Medicare: Accepting Medicare Assignments Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-4000 | |
| Joseph Valle, MD Preventive Medicine Medicare: Accepting Medicare Assignments Practice Location: 3131 S State St, Ann Arbor, MI 48108 Phone: 734-213-6285 Fax: 734-213-6482 | |
| Alan Lee Vorst, MD Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 3131 S State St, Ann Arbor, MI 48108 Phone: 734-213-6285 | |
| Matthew L Boulton, MD, MPH Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 1415 Washington Hts, Ann Arbor, MI 48109 Phone: 734-936-1623 | |
| David Gulapa Paje, M.D. Preventive Medicine Medicare: Accepting Medicare Assignments Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-4000 | |
| Dr. James P Bagian, M.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 24 Frank Lloyd Wright Dr Lbby M, Ann Arbor, MI 48105 Phone: 734-930-5920 Fax: 734-930-5877 | |
| Jennifer Marie Mcdonald, M.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 380 Parkland Plaza, Floor 1 Suite 110, Ann Arbor, MI 48103 Phone: 734-998-7380 |