DR. BEERAVOLU RAMESH REDDY (NPI# 1679534135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679534135 |
Entity Type | Individual |
Full Name | DR. BEERAVOLU RAMESH REDDY |
Credential | MD |
Practice Address |
1222 10th Ave Port Huron MI 48060-3406 |
Practice Telephone | 8109859681 |
Practice Fax Number | 8109853590 |
Mailing Telephone | 8109859681 |
Mailing Fax Number | 8109853590 |
Enumeration Date | 2006-03-31 |
Last Update Date | 2008-01-30 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
4301048340 | MI | Allopathic & Osteopathic Physicians |
Street Address |
1222 10TH AVE |
City | PORT HURON |
State | MI |
Zip Code | 48060-3406 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033198593 | Cardiology Assoc of Port Huron | Internal Medicine | 1222 10th Ave, Port Huron, MI 48060-3406 | 2006-01-12 |
1962069997 | Jacqueline Beauregard | Physician Assistant | 1222 10th Ave, Port Huron, MI 48060-3406 | 2019-05-24 |
1629549159 | Tamara Dawn Yoas | Nurse Practitioner | 1222 10th Ave, Port Huron, MI 48060-3406 | 2018-12-10 |
1245733955 | Caitlin Smith | Nurse Practitioner | 1222 10th Ave, Port Huron, MI 48060-3406 | 2018-03-09 |
1154783470 | Crystal Pennell | Nurse Practitioner | 1222 10th Ave, Port Huron, MI 48060-3406 | 2016-03-25 |
1447696737 | Gabriel Crawford | Internal Medicine | 1222 10th Ave, Port Huron, MI 48060-3406 | 2013-05-14 |
1235332917 | Elias Skaf | Internal Medicine | 1222 10th Ave, Port Huron, MI 48060-3406 | 2007-06-08 |
1275594731 | Madhusudhan C Reddy | Internal Medicine | 1222 10th Ave, Port Huron, MI 48060-3406 | 2006-03-31 |
1760443238 | Vrajmohan C Parikh | Internal Medicine | 1222 10th Ave, Port Huron, MI 48060-3406 | 2006-03-31 |
1104887926 | Virender D Parekh | Internal Medicine | 1222 10th Ave, Port Huron, MI 48060-3406 | 2006-03-31 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740897297 | Casey Edward Bicker | Behavior Technician | 3245 Keewahdin Rd; Fort Gratiot, Mi 48059, Port Huron, MI 48060 | 2020-09-29 |
1962032078 | Brianne Salchert | Peer Specialist | 1170 Michigan Rd., Port Huron, MI 48060 | 2020-01-17 |
1982123006 | Kenneth Shine Heuvelman | Counselor | 3522 Holland Park Ln, Port Huron, MI 48060 | 2017-09-11 |
1346767506 | Kelly Baker | Social Worker | 520 Superior St., Port Huron, MI 48060 | 2017-08-28 |
1326418609 | Jean Burleigh | Chore Provider | 614 Staton, Port Huron, MI 48060 | 2015-09-30 |
1205242161 | Lisa Gray | Counselor | 2885 W Rick Dr, Port Huron, MI 48060 | 2014-07-10 |
1861758880 | Aaron Overly | Surgery | 2609 Electric Ave Ste B&, Port Huron, MI 48060 | 2012-04-03 |
1942591508 | S Akram Ali | Surgery | 3270 Waldheim Dr, Port Huron, MI 48060 | 2011-04-29 |
1417258179 | Nicholas Alexander Tobianski | Physician Assistant | 3550 Pine Grove Avenue, Port Huron, MI 48060 | 2010-11-11 |
1598092769 | Blue Water Pharmacy LLC | Pharmacy | 1524 10th Street, Port Huron, MI 48060 | 2009-11-10 |
Find all providers in zip 48060 |
Taxonomy Code | 207RI0011X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Interventional Cardiology |
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235332917 | Elias Skaf | Internal Medicine | 1222 10th Ave, Port Huron, MI 48060-3406 | 2007-06-08 |
1275594731 | Madhusudhan C Reddy | Internal Medicine | 1222 10th Ave, Port Huron, MI 48060-3406 | 2006-03-31 |
1558322743 | Bashar Samman | Internal Medicine | 1222 10th Ave, Port Huron, MI 48060-3406 | 2006-03-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528606241 | Cypress Cardiology Pa | Internal Medicine | 1286 S Linden Rd Ste A, Flint, MI 48532-3457 | 2019-12-12 |
1609342757 | Michael Ira Klein | Internal Medicine | 111 Elm St Apt 331, Birmingham, MI 48009-6346 | 2018-10-16 |
1568954600 | Schreiber Cardiology, P.C. | Internal Medicine | 8545 Common Rd Ste 150, Warren, MI 48093 | 2018-06-05 |
1003319096 | Michigan Canton Cardiology Associates Pllc | Internal Medicine | 4020 Venoy Rd Ste 200, Wayne, MI 48184-1899 | 2018-03-15 |
1700337227 | Prime Vascular Center Pllc | Internal Medicine | G-5103 Miller Rd, Flint, MI 48507-1043 | 2016-10-19 |
1003366675 | K Heart & Vascular Institute, Pllc | Internal Medicine | 33376 Dequindre Road, Sterling Heights, MI 48310-5966 | 2016-10-07 |
1255738472 | Ashok Kondur Md PC | Internal Medicine | 4160 John R St Ste 525, Detroit, MI 48201-2022 | 2014-12-03 |
1952697252 | Abiy Temesgen Nigatu | Internal Medicine | 1000 E Paris Ave Se Ste 200, Grand Rapids, MI 49546 | 2011-06-24 |
1477845824 | Ehk Endovascular Pllc | Internal Medicine | 5500 Auto Club Drive, Suite 250, Dearborn, MI 48126-2683 | 2011-05-04 |
1134410970 | Erik Henry Howell | Internal Medicine | 14555 Levan Rd Ste 203, Livonia, MI 48154 | 2011-04-27 |
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City | PORT HURON |
Zip Code | 48060 |
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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.