Individual provider · Type 1 NPI

Jayakar Reddy Kanmantha Reddy, MD

Geriatric Medicine (Internal Medicine) Physician · Waterford Township, MI

NPI number 1629086244 Active

Practice location

1255 North Oakland Boulevard, Suite 175
Waterford Township, MI 48327

Fax (248) 666-2646

Mailing address

PO Box 7752
Bloomfield Hills, MI 48302-7752

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000X4301068131 (MI)
Geriatric Medicine (Internal Medicine) Physician Primary 207RG0300X4301068131 (MI)

Geriatric Medicine (Internal Medicine) Physician: An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

About NPI 1629086244

Jayakar Reddy Kanmantha Reddy, MD's National Provider Identifier is 1629086244, issued on Aug 3, 2006. The primary taxonomy on file is Geriatric Medicine (Internal Medicine) Physician (207RG0300X), and the practice location is in Waterford Township, MI. The record was last updated on Sep 11, 2025.