Urosev-Reddy MD PC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

UROSEV-REDDY MD PC

Practice address

21225 Kelly Rd
Ste 3
Eastpointe, MI 48021-3100

Phone

(586) 776-5777

Fax

(586) 776-9451

NPI assigned

Sep 6, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Ilija Urosev, MD

Title

President

Phone

(586) 776-5777

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Banda P Reddy, MD

  • Cardiovascular Disease Physician
  • Roseville, MI
  • NPI 1699783613
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013010230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21225 KELLY RD",
            "address_2": "STE 3",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480213100",
            "telephone_number": "586-776-5777",
            "fax_number": "586-776-9451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21225 KELLY RD",
            "address_2": "STE 3",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480213100",
            "telephone_number": "586-776-5777",
            "fax_number": "586-776-9451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROSEV-REDDY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "UROSEV",
        "authorized_official_first_name": "ILIJA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-776-5777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "1505739",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1189553",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1190840",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "1503894",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Cardiovascular Disease Physician in Eastpointe, MI
• Providers in Eastpointe, MI by specialty
• Cardiovascular Disease Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.