RAJAMATHIAS Y REDDY M.D. NPI 1225127848

NPI Information

  • NPI: 1225127848
  • Provider Name: RAJAMATHIAS Y REDDY, M.D.
  • Classification: Pediatrics - 208000000X
  • Entity Type: Individual
  • CLIA Number: 23D0935079
  • Address: 901 KIMOLE LN
    STE B3
    ADRIAN, MI
    ZIP 49221
  • Phone: (517) 263-7337

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NPI Details

Rajamathias Y Reddy, M.D. is a pediatrics in Adrian, MI. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Rajamathias Y Reddy, M.D. NPI is 1225127848. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

901 KIMOLE LN
STE B3
ADRIAN, MI
ZIP 49221-491
Phone: (517) 263-7337
Fax: (517) 263-6150

The CLIA number assigned to this NPI record is 23D0935079 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/12/2006 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsRR066814MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1G21536MEDICARE UPINMICHIGAN
24125980MEDICAIDMICHIGAN
303715OTHERMICHIGANPARAMOUNT PROVIDER #
4RR066814OTHERMICHIGANLICENSE NUMBER
5114183OTHERMICHIGANCARE CHOICES PROVIDER #
63504600762OTHERMICHIGANBCBS PROVIDER #
7OM21350MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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