PAVAN R REDDY (NPI# 1558447425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558447425 |
| Entity Type | Individual |
| Full Name | PAVAN R REDDY |
| Credential | MD |
| Practice Address |
1500 E Medical Center Dr Ann Arbor MI 48109-5000 |
| Mailing Address |
3621 S State St Ann Arbor MI 48108-1633 |
| Practice Telephone | 7349364000 |
| Mailing Telephone | 7346475299 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2020-08-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 4301072828 | MI | Allopathic & Osteopathic Physicians |
| N | 207RH0000X |
Internal Medicine Specialization: Hematology |
4301072828 | MI | Allopathic & Osteopathic Physicians |
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
4301072828 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4371357 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689024945 | Pavan G Reddy | Surgery | 1801 Sunset Drive, General Surgery Department, Columbia, SC 29203 | 2016-06-17 |
| 1457748840 | Pavan Reddy | Student in an Organized Health Care Education/Training Program | 1200 N State St, Los Angeles, CA 90033-1029 | 2015-04-23 |
| 1659329084 | Pavan Garlapaty Reddy | Otolaryngology | 14500 Northline Rd, Southgate, MI 48195-2402 | 2006-05-05 |
| 1720042286 | Pavan Reddy | Psychiatry & Neurology | 1970 Roanoke Blvd, Salem, VA 24153-6404 | 2006-04-13 |
| 1932161155 | Pavan S Reddy | Internal Medicine | 818 N Emporia St, Suite 403, Wichita, KS 67214-3729 | 2006-04-04 |
| Street Address |
1500 E MEDICAL CENTER DR |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48109-5000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669475836 | Tami L. Remington | Pharmacist | 1500 E Medical Center Dr, Ann Arbor, MI 48109-0999 | 2005-05-23 |
| 1578164810 | Jessica Leigh Bailey | Nurse Practitioner | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2020-11-03 |
| 1518565910 | Yoshiaki Ota | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2020-10-16 |
| 1366058356 | Paulo Zupelari Goncalves | Dentist | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2020-09-16 |
| 1306459466 | Jesse P Spalding | Nurse Practitioner | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2020-08-28 |
| 1992318919 | Batoul Berri | Audiologist | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2020-08-28 |
| 1063024891 | Nathan Allen Johnson | Nurse Practitioner | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2020-08-22 |
| 1780296699 | Yoav Hammer | Internal Medicine | 1500 E Medical Center Dr, 2nd Floor, Cardiovascular Center, Ann Arbor, MI 48109-5853 | 2020-08-21 |
| 1891306262 | Sarah Garnai | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2020-08-11 |
| 1386254936 | Ryan James Sutherlan | Pharmacist | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2020-08-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558987024 | Albert Byun | Student in an Organized Health Care Education/Training Program | 1500 E.medical Center Dr., 1h247, Ann Arbor, MI 48109 | 2020-06-22 |
| 1851914931 | Nadine Ibrahim | Student in an Organized Health Care Education/Training Program | 1500 E. Medical Center Drive, Spc 5312, Taubman Center, 1st Floor, Room 1903, Ann Arbor, MI 48109 | 2020-05-22 |
| 1568083350 | Tucker Zimmer | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Dr, Uh South F-6245, Ann Arbor, MI 48109 | 2020-05-03 |
| 1144841099 | Jessica Moore Meves | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Drive, Uh South F-6245, Ann Arbor, MI 48109 | 2020-05-01 |
| 1710522297 | Xiaoyuan Hu | Specialist/Technologist | Obl 2150, 1402 Washington Hts, Ann Arbor, MI 48109 | 2019-11-08 |
| 1376192401 | Regina Kay Freeman | Clinical Nurse Specialist | 4726 Cardiovascular Center, 1500 E Medical Center Dr, Ann Arbor, MI 48109 | 2019-09-11 |
| 1477114155 | William Philip Saunders IIi | Student in an Organized Health Care Education/Training Program | 300 N Ingalls Building, Rm Ni4co6, Ann Arbor, MI 48109 | 2019-06-24 |
| 1093290447 | Teresa H Lyden | Speech-Language Pathologist | 1500 E. Medical Center Dr., Spc 5312, 1904 Tc, Otolaryngology-head and Neck Surgery, Ann Arbor, MI 48109 | 2018-10-02 |
| 1649755091 | Anna Grace Hardenbergh | Speech-Language Pathologist | 1500 E. Medical Center Drive Tc 1904, Otolaryngology Head and Neck Surgery, Ann Arbor, MI 48109 | 2018-10-02 |
| 1548754609 | Amy Wu | Pediatrics | 1500 East Medical Center Drive., Medical Professional Bldg. D-3238, Ann Arbor, MI 48109 | 2018-06-21 |
| Find all providers in zip 48109 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093949745 | Erin Frances Cobain | Internal Medicine | 1500 E Medical Center Dr Fl B1, Ann Arbor, MI 48109-5000 | 2009-05-11 |
| 1134111230 | David M Loesch | Internal Medicine | 2900 Huron Parkway, Ann Arbor, MI 48105 | 2005-08-16 |
| 1952714032 | Frank Donald Weinberg | Internal Medicine | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2014-06-06 |
| 1104144039 | Lan Gardner Coffman | Internal Medicine | 1500 East Medical Center Dr, B1 Floor Cancer Recp C, Ann Arbor, MI 48109-5912 | 2010-05-17 |
| 1609192020 | Regents of The University of Michigan | Internal Medicine | 1500 E Medical Center Dr, B1 Floor Cancer Center Recp B, Ann Arbor, MI 48109-5911 | 2010-04-09 |
| 1114025020 | Imad Shureiqi | Internal Medicine | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2006-09-21 |
| 1114036720 | Joshi Joshi Alumkal | Internal Medicine | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609118413 | Muhyi Al-sarraf | Internal Medicine | 2810 Birchwood Ct, Bloomfield Hills, MI 48302-0900 | 2013-03-19 |
| 1932431202 | Ernie P. Balcueva Md PC | Internal Medicine | 800 Cooper Ave Ste 10, Saginaw, MI 48602-5373 | 2010-02-11 |
| 1063741536 | John Raymond Schneider | Internal Medicine | 66 Oxford Rd, Grosse Pointe, MI 48236-1829 | 2009-12-13 |
| 1386875607 | Richard Adam Messmann | Internal Medicine | 5912 Hartford Way, Brighton, MI 48116-7810 | 2009-08-04 |
| 1164694584 | Alexandra Krot | Internal Medicine | 169 Bassett Place, Bloomfield Hills, MI 48301 | 2008-03-26 |
| 1366645806 | Mcrmc Professional Oncology Billing LLC | Internal Medicine | 1080 Harrington Blvd, Suite 201, Mount Clemens, MI 48043-2967 | 2007-06-11 |
| 1417160508 | Burton F Vanderlaan | Internal Medicine | 5769 Charolais Dr Sw, Wyoming, MI 49418-8703 | 2007-05-07 |
| 1639262751 | Mayur Patel | Internal Medicine | 19725 Allen Rd Ste 101, Brownstown Twp, MI 48183-1090 | 2006-10-02 |
| 1255432324 | Michigan Hematology & Oncology Institute, P.C. | Internal Medicine | 15750 Northline Rd, Southgate, MI 48195-2378 | 2006-09-25 |
| 1588678155 | Paul T Porter | Internal Medicine | 19229 Mack Ave Ste 24, Grosse Pointe Woods, MI 48236-2857 | 2006-07-28 |
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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.