PAVAN G REDDY MD PLLC
NPI 1619143807
Otolaryngology in Southgate, MI

Q: What is Pavan G Reddy MD PLLC's NPI number?

The NPI number for Pavan G Reddy MD PLLC is 1619143807. It was assigned to this organization in the NPPES registry on May 7, 2008.

Q: What is Pavan G Reddy MD PLLC's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Active since May 07, 2008

14500 NORTHLINE RD, SOUTHGATE, MI 48195(734) 281-4197(734) 282-0093 Get Directions Write a Review

NPPES record last updated: May 7, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Pavan G Reddy Md Pllc NPPES

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

PAVAN G REDDY MD PLLC (NPI 1619143807) is a healthcare organization registered as an otolaryngology in Southgate, Michigan and active in the NPI registry since May 2008. The organization lists Pavan G Reddy, Owner, as its authorized official.

NPPES Registry Identity

NPI1619143807

Entity TypeOrganization

Primary Taxonomy207Y00000X

Legal Business NamePAVAN G REDDY MD PLLC

Location Address14500 NORTHLINE RDSouthgate, MI 48195-2402

Mailing Address14500 Northline RdSouthgate, MI 48195-2402 · (734) 281-4197 · Fax (734) 282-0093

Phone(734) 281-4197

Fax(734) 282-0093

Organization SubpartNo

Authorized OfficialPavan G ReddyOwner · (734) 281-4197

Enumeration DateMay 7, 2008

✔ NPI 1619143807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207Y00000X

License✔ Licensed in MI · 4301063732

Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

14500 NORTHLINE RD, Southgate, MI 48195

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Other Identifiers 1

Medicare UPING97177MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

ROBERTA MICHELS AU.D.

Audiologist