NPI Index

JAYAKAR REDDY KANMANTHA REDDY, MD

Internal Medicine - Geriatric Medicine

Active Individual
NPI: 1629086244

Practice Address

1255 NORTH OAKLAND BOULEVARD
SUITE 175
Waterford Township, MI 48327

Phone: (248) 666-2756

Specialties

Specialty Code Primary License
Internal Medicine 207R00000X No 4301068131 (MI)
Internal Medicine - Geriatric Medicine 207RG0300X Yes 4301068131 (MI)

Frequently Asked Questions

NPI 1629086244 is the National Provider Identifier for JAYAKAR REDDY KANMANTHA REDDY, MD, a Internal Medicine - Geriatric Medicine provider located in Waterford Township, MI. This NPI was enumerated on August 3, 2006.
JAYAKAR REDDY KANMANTHA REDDY, MD practices at 1255 NORTH OAKLAND BOULEVARD, SUITE 175, Waterford Township, MI 48327.

Quick Facts

NPI
1629086244
Type
Individual
Enumerated
Aug 3, 2006
Last Updated
Sep 11, 2025

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