Individual provider · Type 1 NPI

Srija Reddy Kesireddy, MD

Student in an Organized Health Care Education/Training Program · Pontiac, MI

NPI number 1538055355 Active

Practice location

461 West Huron Street Suite 107
Pontiac, MI 48341

Fax (248) 857-7141

Mailing address

PO Box 430150
Pontiac, MI 48343-0150

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1538055355

Srija Reddy Kesireddy, MD's National Provider Identifier is 1538055355, issued on Jun 17, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Pontiac, MI. The record was last updated on May 29, 2026.