Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. SHANTHI VARDHANREDDY GANGUMALLA, PHYSICAL THERAPIST
Active Sole ProprietorMR. SHANTHI VARDHANREDDY GANGUMALLA, PHYSICAL THERAPIST is a Physical Therapy Assistant healthcare provider located in DETROIT, Michigan. NPI 1851894638 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · DETROIT, MI
Registration Details
- NPI Number
- 1851894638
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 17, 2018 (8.3797647970166 yrs)
- Last Updated
- Mar 17, 2018
- License
-
5501014970 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2567 W GRAND BLVDDETROIT, MI, 482081235Browse MI providers · Browse ZIP 48208
- Phone
- 3138955340
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in DETROIT, MI
| Name | Credential | NPI |
|---|---|---|
| DR. NAZIR AHMED | PT | 1386642817 |
| MR. RYAN WALTER LITHGOW | PHYSICAL THERAPIST | 1902875800 |
| MRS. DEANNA K WELCH | MPT | 1598726515 |
| LORELEE JACINTO | P.T. | 1659322295 |
| TARIQ SIDDIQI | — | 1174576805 |
| RHODORA BAUTISTA ASTRONOMO | PT,DPT | 1386691426 |
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.