MALLU S REDDY MD, AGNP
NPI 1346176104
Nurse Practitioner - Primary Care in Plymouth, MI

Active since June 19, 2026
105 N HAGGERTY RD, PLYMOUTH, MI 48170(785) 760-6301 Get Directions Write a Review

NPPES record last updated: June 19, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mallu S Reddy Md, Agnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MALLU S REDDY MD, AGNP (NPI 1346176104) is an individual primary care provider in Plymouth, Michigan, licensed in Michigan (4704287124) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1346176104
Entity TypeIndividual
Primary Taxonomy363LP2300X
Provider Legal NameMALLU S REDDYCredential: MD, AGNP
Location Address105 N HAGGERTY RDPlymouth, MI 48170-1801
Mailing Address105 N Haggerty RdPlymouth, MI 48170-1801
Sole ProprietorYes
Enumeration DateJune 19, 2026
NPPES CertifiedJune 19, 2026
NPI 1346176104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in MI · 4704287124
105 N HAGGERTY RD, Plymouth, MI 48170

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
105 N HAGGERTY RD
PLYMOUTH, MI 48170
Skilled Nursing Facility
105 N HAGGERTY RD
PLYMOUTH, MI 48170
Occupational Therapist
105 N HAGGERTY RD
PLYMOUTH, MI 48170
Skilled Nursing Facility
105 N HAGGERTY RD
PLYMOUTH, MI 48170
Social Worker
105 N HAGGERTY RD
PLYMOUTH, MI 48170
Skilled Nursing Facility
105 N HAGGERTY RD
PLYMOUTH, MI 48170
Physical Therapist
105 N HAGGERTY RD
PLYMOUTH, MI 48170

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mallu Reddy's NPI number?

The NPI number for Mallu Reddy is 1346176104. It was assigned to this individual provider in the NPPES registry on June 19, 2026.

Where is Mallu Reddy located?

Mallu Reddy practices at 105 N Haggerty Rd, Plymouth, MI 48170. The listed phone number is (785) 760-6301.

What is Mallu Reddy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Mallu Reddy was last updated on June 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 46 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.