GOPAL REDDY (NPI# 1164454161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164454161 |
| Entity Type | Individual |
| Full Name | GOPAL REDDY |
| Credential | MD |
| Practice Address |
455 S Livernois Ste B23 Rochester MI 48307-2578 |
| Practice Telephone | 2486518888 |
| Practice Fax Number | 2486512400 |
| Mailing Telephone | 2486518888 |
| Mailing Fax Number | 2486512400 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
4301040965 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 3022173 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588758874 | Gopal B Reddy | Internal Medicine | 11890 Healing Way, Silver Spring, MD 20904-7917 | 2006-10-03 |
| 1891890620 | Gopal Reddy | Surgery | 500 Walter Ne, Suite 204, Albuquerque, NM 87102 | 2006-09-14 |
| Street Address |
455 S LIVERNOIS STE B23 |
| City | ROCHESTER |
| State | MI |
| Zip Code | 48307-2578 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306890975 | Centers for Allergy & Asthma | Allergy & Immunology | 455 S Livernois, Rochester, MI 48307 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083238851 | Martin Dukaj | Student in an Organized Health Care Education/Training Program | 1101 Walton Blvd, Rochester Hills, MI 48307 | 2020-06-08 |
| 1073151973 | Cynthia Lynn Olekszyk | Dietitian, Registered | 645 Barclay Circle, Rochester Hills, MI 48307 | 2019-12-11 |
| 1326502428 | Jessica Delia | Nurse Practitioner | 1701 E South Boulevard, Suite 290, Rochester Hills, MI 48307 | 2019-01-23 |
| 1528530037 | Kelie Friday | Physical Therapist | 312 Rochester Hills, Dearborn, MI 48307 | 2018-12-21 |
| 1538635883 | Julie Latarewicz | Physical Therapist | Ascension Providence Rochester Hospital, 1101 West University Drive, Rochester, MI 48307 | 2018-10-15 |
| 1891270757 | Leah Marx | Social Worker | 3950 Rochester Rd, Ste 2250, Rochester Hills, MI 48307 | 2018-09-26 |
| 1598256729 | Frederick Alan Bittner | Student in an Organized Health Care Education/Training Program | 1101 W. University Drive, 3 North, Rochester, MI 48307 | 2018-05-23 |
| 1508356346 | Ankita Aggarwal | Student in an Organized Health Care Education/Training Program | Wsu/ascension Crittenton Hospital, 1101 W. University Drive, Rochester, MI 48307 | 2018-05-17 |
| 1619478195 | Michelle Nuccio | Occupational Therapist | 1555 E South Blvd, Rochester Hills, MI 48307 | 2018-02-21 |
| 1265932024 | Stacy Dietlin Linn | Physical Therapist | 1555 E. South Blvd, Suite 120, Rochester Hills, MI 48307 | 2018-02-19 |
| Find all providers in zip 48307 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033619515 | Jrk Medical LLC | Internal Medicine | 2633 Superior Dr Nw Ste 100, Rochester, MN 55901-8395 | 2018-02-20 |
| 1134481427 | Jian Shan | Internal Medicine | 30 Hagen Dr Ste 100, Rochester, NY 14625-2658 | 2012-06-12 |
| 1265722508 | Erica Olson Miller | Internal Medicine | 600 Red Creek Dr Ste 100, Rochester, NY 14623 | 2011-04-07 |
| 1427347509 | Nicholas Mckenzie Venci | Internal Medicine | 140 Canal View Blvd Ste 102, Rochester, NY 14623-2808 | 2011-03-29 |
| 1952690026 | John Michael Nayda | Internal Medicine | Unisersity of Rochester Strong Memorial, Division of Cardiology Box 679a, Rochester, NY 14642-0001 | 2011-03-29 |
| 1114242500 | Michael Vornovitsky | Internal Medicine | 601 Elmwood Ave Box 679a, Rochester, NY 14642-0001 | 2010-03-29 |
| 1629302013 | Marvin Galler | Internal Medicine | 300 Hylan Dr, # 107, Rochester, NY 14623-4216 | 2009-10-01 |
| 1952544652 | Kiran Devaraj | Internal Medicine | 1870 Winton Rd S Ste 1, Rochester, NY 14618-3960 | 2009-04-09 |
| 1326295536 | John Allen Spittell Jr. | Internal Medicine | 614 Memorial Pkwy Sw, Rochester, MN 55902-6349 | 2008-08-20 |
| 1114010865 | Gregory Mark Singer | Internal Medicine | 2664 Ridgeway Ave, Rochester, NY 14626-4209 | 2006-10-02 |
| Find all providers in ROCHESTER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.