Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAYAKAR REDDY KANMANTHA REDDY, MD
ActiveJAYAKAR REDDY KANMANTHA REDDY, MD is a Gastroenterology healthcare provider located in WATERFORD TOWNSHIP, Michigan. NPI 1629086244 is currently active in the NPPES registry. Verify at CMS.
Gastroenterology · WATERFORD TOWNSHIP, MI
Registration Details
- NPI Number
- 1629086244
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 3, 2006 (20.041449828783 yrs)
- Last Updated
- Sep 11, 2025
- Licenses
-
4301068131 (MI)4301068131 (MI)
Practice Information
- Address
-
1255 NORTH OAKLAND BOULEVARDSUITE 175WATERFORD TOWNSHIP, MI, 48327Browse MI providers · Browse ZIP 48327
- Phone
- 2486662756
- Fax
- 2486662646
- Primary Specialty
-
Gastroenterology
207RG0300X
- Additional Specialty
- Gastroenterology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.