LINGAREDDY DEVIREDDY MD PC


Address: 11900 E 12 Mile Rd, Suite 103, Warren, MI 48093-3400
Phone: 5865740890

LINGAREDDY DEVIREDDY MD PC (NPI# 1194115402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194115402
Entity Type Organization
Organization Name LINGAREDDY DEVIREDDY MD PC
Practice Address 11900 E 12 Mile Rd
Suite 103
Warren
MI 48093-3400
Practice Telephone 5865740890
Practice Fax Number 5865749321
Mailing Telephone 5865740890
Mailing Fax Number 5865749321
Enumeration Date 2015-01-26
Last Update Date 2015-01-26
Authorized Official Name SRINIVAS KONERU (MD)
Authorized Official Telephone 5865740890
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM2500X Clinic/Center
Specialization: Medical Specialty
4301080674 MI Ambulatory Health Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1225082654 Lingareddy Devireddy Md PC Internal Medicine 11900 E 12 Mile Rd, Suite 103, Warren, MI 48093-3487 2006-05-20

Office Location

Street Address 11900 E 12 MILE RD
SUITE 103
City WARREN
State MI
Zip Code 48093-3400

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194720276 Stuart R Gildenberg Dermatology 11900 E 12 Mile Rd, Ste 201, Warren, MI 48093-3490 2005-06-16
1902459159 Tammy Jean Cass Registered Nurse 11900 E 12 Mile Rd, Warren, MI 48093-3400 2019-07-17
1437715026 Dalia Hasso Student in an Organized Health Care Education/Training Program 11900 E 12 Mile Rd, Warren, MI 48093-3400 2019-05-19
1174070577 Hayley Foster Physician Assistant 11900 E 12 Mile Rd, Suite 110, Warren, MI 48093-3400 2016-09-02
1063872877 Andrew Cox Physician Assistant 11900 E 12 Mile Rd, Suite 110, Warren, MI 48093-3400 2016-03-07
1538561469 Erica Williams Physician Assistant 11900 E 12 Mile Rd, Suite 110, Warren, MI 48093-3400 2014-09-23
1578994737 Mendelson Orthopedics Orthopaedic Surgery 11900 E 12 Mile Rd, Suite 105, Warren, MI 48093-3400 2013-12-12
1548542020 Brittany J Miller Physician Assistant 11900 E 12 Mile Rd, Suite 100, Warren, MI 48093-3400 2011-09-12
1285916825 Theresa Jeanette Richardson Physician Assistant 11900 E 12 Mile Rd, Suite 100, Warren, MI 48093-3400 2011-09-09
1649562307 Daniel Feldman Anesthesiology 11900 E 12 Mile Rd, Suite 110, Warren, MI 48093-3400 2011-05-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023615986 Toleka Regina Taylor Nurse Anesthetist, Certified Registered St. John Macomb Hospital, 11800 East 12 Mile Road, Warren, MI 48093 2020-10-05
1679112676 Open Heart Communities Case Management 31310 Shaw Dr, Warren, MI 48093 2019-12-23
1538715636 3 Dove Medical Supplies Durable Medical Equipment & Medical Supplies 31201 Chicago Rd S Ste C101, Warren, MI 48093 2019-08-14
1568954600 Schreiber Cardiology, P.C. Internal Medicine 8545 Common Rd Ste 150, Warren, MI 48093 2018-06-05
1730686197 Lambro Seremetis Social Worker 12200 E. 12 Mile Road, Ste. 200, Warren, MI 48093 2018-04-11
1649775826 Ridge Downs Behavioral Analyst 31201 Chicago Rd South, Suite C- 202, Warren, MI 48093 2018-03-28
1144722737 Jessica Farraj Occupational Therapist 11800 E. 12 Mile Road, Warren, MI 48093 2018-02-28
1265930168 Leah Hanrahan Registered Nurse 11700 Amberle Dr., Warren, MI 48093 2018-01-25
1598271553 Pamela Marie Confer Occupational Therapist 11012 13 Mile Rd, Suite 200, Warren, MI 48093 2017-12-28
1831604347 Kate Jeanne Szczepanski Behavior Technician 31200 Chicago Rd S, Warren, MI 48093 2017-12-06
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Taxonomy Information

Taxonomy Code 261QM2500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Medical Specialty

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518452010 Endovascular Associates LLC Clinic/Center 8790 E Market St Ste 300, Warren, OH 44484-2360 2018-06-27
1679195465 Revive Sports & Spine Management Clinic/Center 27253 Van Dyke Ave, Warren, MI 48093-2858 2020-05-14
1225381528 Navaroli Medical Clinic/Center 1 New St, Warren, PA 16365-1551 2012-10-24

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1629684386 True Women's Clinic of Grand Rapids, PC Clinic/Center 2144 E Paris Ave Se Ste 230, Grand Rapids, MI 49546-6111 2020-09-18
1497397202 Kimberly Wallace Md PC Clinic/Center 12900 W 9 Mile Road, Oak Park, MI 48237 2019-10-14
1265081418 Cherry Street Services Inc Clinic/Center 2125 Wrenwood St Sw Ofc Therapist, Wyoming, MI 49519-2362 2019-09-10
1023662079 J & D Vision Inc Clinic/Center 41821 Garfield Rd, Clinton Twp, MI 48038-1965 2019-07-29
1649839945 Michigan Institute of Sleep Disorders Pllc Clinic/Center 7108 Autumn Hill Dr, West Bloomfield, MI 48323-3904 2019-06-10
1447715131 Ryan Klanseck, Do Clinic/Center 16986 Robbins Rd Ste 140, Grand Haven, MI 49417-2795 2019-02-06
1598242455 Gratiot Advanced Center LLC Clinic/Center 7612 Gratiot Ave Ste 200, Detroit, MI 48213-2822 2018-07-24
1902356140 Midmichigan Pain Clinic/Center 2305 Hawthorn Dr, Suite B, Mt Pleasant, MI 48858-1202 2016-10-12
1184085516 Hester S Pernell Md Pllc Clinic/Center 24628 Ridgeview Dr, Farmington Hills, MI 48336-1905 2016-03-12
1275937625 Innovative Anesthesia Services PC Clinic/Center 847 Parchment Dr Se Ste 105, Grand Rapids, MI 49546 2014-10-14
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Competitor

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City WARREN
Zip Code 48093

Improve Information

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Dataset Information

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.

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