SUDARSHAN R REDDY M.D.
NPI 1073597217
Plastic Surgery in Clinton Twp, MI

Active since December 01, 2005
43281 COMMONS, CLINTON TWP, MI 48038(586) 263-6050(586) 263-0436 Get Directions Write a Review

NPPES record last updated: March 20, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Plastic Surgery

About SUDARSHAN REDDY

This page provides the complete NPI Profile along with additional information for Sudarshan Reddy, a provider established in Clinton Twp, Michigan with a medical specialization in Plastic Surgery. The healthcare provider is registered in the NPI registry with number 1073597217 assigned on December 2005. The practitioner's primary taxonomy code is 208200000X with license number 4301039506 (MI). The provider is registered as an individual and his NPI record was last updated 11 years ago.

NPI
1073597217 Verify this NPI
Provider Name
SUDARSHAN R REDDY M.D.
Gender
Male
Entity Type
Individual
Location Address
43281 COMMONS CLINTON TWP, MI 48038
Location Phone
(586) 263-6050
Location Fax
(586) 263-0436
Mailing Address
43281 COMMONS CLINTON TWP, MI 48038
Mailing Phone
(586) 263-6050
Mailing Fax
(586) 263-0436
Is Sole Proprietor?
Yes
Enumeration Date
12-01-2005
Last Update Date
03-20-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Plastic Surgery

Taxonomy Code
208200000X
Type
Allopathic & Osteopathic Physicians
License No.
4301039506
License State
MI
Taxonomy Description
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
OP62940MEDICARE PIN (08)MI 
2405003712OTHER (01)MIBCBS
A73212MEDICARE UPIN (02)MI 
15726310MEDICAID (05)MI 
A73212OTHER (01)MIHAP
1572763024MEDICAID (05)MI 

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073597217, enumerated as an "individual" on December 01, 2005.

The provider is located at 43281 COMMONS CLINTON TWP, MI 48038 and the phone number is (586) 263-6050.

Plastic Surgery with taxonomy code 208200000X.

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.