PRITHAM P. REDDY, PLLC (NPI# 1235442732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235442732 |
| Entity Type | Organization |
| Organization Name | PRITHAM P. REDDY, PLLC |
| Practice Address |
22250 Providence Drive Suite #555 Southfield MI 48152 |
| Mailing Address |
22250 Providence Dr Suite 555 Southfield MI 48075-4825 |
| Practice Telephone | 2484245748 |
| Practice Fax Number | 2484431706 |
| Mailing Telephone | 2484245748 |
| Mailing Fax Number | 2484431706 |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2010-07-26 |
| Authorized Official Name | PRITHAM P. REDDY (PRESIDENT) |
| Authorized Official Telephone | 2484245748 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | PRITHAM REDDY M.D. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
4301075046 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
22250 PROVIDENCE DRIVE SUITE #555 |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477557734 | Michelle Baker | Physician Assistant | 22250 Providence Drive, 5th Flooor, Southfield, MI 48075 | 2005-06-02 |
| 1154949535 | Cory Xavier Cole | Internal Medicine | 22250 Providence Drive, Academic Im Pmb Suite #301, Southfield, MI 48075 | 2020-07-11 |
| 1235754813 | Harvey Sekhon | Student in an Organized Health Care Education/Training Program | 22250 Providence Drive, 3 Pmb #301, Southfield, MI 48075-4818 | 2020-06-10 |
| 1730703810 | Anudeep Kommineni | Internal Medicine | 22250 Providence Drive, 3pmb Suite 301, Southfield, MI 48075 | 2020-06-03 |
| 1144844564 | Elton Yichao Li | Student in an Organized Health Care Education/Training Program | 22250 Providence Drive, Suite #557, Southfield, MI 48075-4818 | 2020-06-01 |
| 1699331496 | Alexander Zayid | Student in an Organized Health Care Education/Training Program | 22250 Providence Drive, Suite #5577, Southfield, MI 48075-4818 | 2019-05-16 |
| 1528624798 | Karan Singh Sekhon | Student in an Organized Health Care Education/Training Program | 22250 Providence Drive, Suite #557, Southfield, MI 48075-4818 | 2019-05-14 |
| 1164087888 | Kathleen Jeanne Marie Harnois | Student in an Organized Health Care Education/Training Program | 22250 Providence Drive, Suite #703a, Southfield, MI 48075-4818 | 2019-05-08 |
| 1912561119 | Elise Jongeun Yoon | Student in an Organized Health Care Education/Training Program | 22250 Providence Drive, Suite #601, Southfield, MI 48075-4818 | 2019-04-24 |
| 1497319511 | Dexter Tyler Powell | Student in an Organized Health Care Education/Training Program | 22250 Providence Drive, Suite #401, Southfield, MI 48075-4818 | 2019-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648171 | Hillary Fitzsimmons Psyd Pllc | Clinic/Center | 19455 Weyhar St, Livonia, MI 48152 | 2020-10-30 |
| 1639780968 | Goyanka Ranganathan | Student in an Organized Health Care Education/Training Program | Ipc Primary Care Internal Medicine, 37595 Seven Mile Road, Suite 340, Livonia, MI 48152 | 2020-08-11 |
| 1457988552 | Adam Ouellette | Student in an Organized Health Care Education/Training Program | St. Joe's Outpatient Psychiatry and Counseling Center, 37595 Seven Mile Rd, Suite 230, Livonia, MI 48152 | 2020-03-26 |
| 1972006047 | Genise Kerner Md PC | Clinic/Center | 37675 Pembrooke Ave, Livonia, MI 48152 | 2018-03-14 |
| 1205340593 | Rafal Hamamh | Dentist | 37595 7 Mile Rd Ste 4450, Livonia, MI 48152 | 2017-11-22 |
| 1053830489 | Felicia Cerise Reese | Registered Nurse | 17197 N. Laurel Park Drive, 555, Livonia, MI 48152 | 2017-09-18 |
| 1164943882 | Muhammad Yasir | Student in an Organized Health Care Education/Training Program | 37595 Seven Mile Rd. #340, Livonia, MI 48152 | 2017-07-03 |
| 1184154544 | St Mary Mercy Physician Practices | Clinic/Center | 39201 7 Mile Rd Bldg Room140, Livonia, MI 48152 | 2017-06-18 |
| 1912437518 | Divonne Touch | Clinic/Center | 18298 Middlebelt, Liviona, MI 48152 | 2017-06-15 |
| 1861922445 | Cheryl Lang | Physical Therapist | 17177 N Laurel Park Drive, Suite 417, Livonia, MI 48152 | 2017-06-15 |
| Find all providers in zip 48152 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780919936 | Martin A V Tuma Md Vascular Surgery Pllc | Surgery | 22255 Greemfield Road #250, Southfield, MI 48075 | 2009-10-06 |
| 1083672968 | Marc Gregory Webb | Surgery | 21701 W 11 Mile Rd, Southfield, MI 48076-3713 | 2006-05-02 |
| 1447878160 | Usa Vein Clinics of Detroit Pllc | Surgery | 29984 Telegraph Rd, Southfield, MI 48034-1355 | 2020-07-09 |
| 1922266808 | Wound Care Clinics of America PC | Surgery | 24111 Southfield Rd, Southfield, MI 48075-2841 | 2008-05-28 |
| 1609077783 | Michigan Vascular Access, PC | Surgery | 21701 W 11 Mile Rd, Southfield, MI 48076-3713 | 2007-05-29 |
| 1134332919 | Pritham Pingli Reddy | Surgery | 22250 Providence Dr, Suite 555, Southfield, MI 48075-4825 | 2007-05-08 |
| 1215967872 | John W Sealey | Surgery | 16250 Northland Dr, Suite 310, Southfield, MI 48075-5205 | 2006-07-03 |
| 1235165770 | Victor Ubom | Surgery | 24111 Southfield Rd, Southfield, MI 48075-2817 | 2006-06-25 |
| 1679525539 | Tamer Nady Boules | Surgery | 22250 Providence Dr, Suite 555, Southfield, MI 48075-4825 | 2006-05-17 |
| 1871560979 | Kevin David Nolan | Surgery | 22250 Providence Dr, Suite 555, Southfield, MI 48075-4825 | 2006-03-07 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48152 |
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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.