Organization Active NPI

Reddy & Kunadi MD PLC

  • Family Medicine Physician
  • Grand Blanc, MI
National Provider Identifier
1063868636
Registry record updated May 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
REDDY & KUNADI MD PLC
Practice address
414 Perry Rd
Grand Blanc, MI 48439-1467
Phone
(810) 694-8423
Fax
(810) 694-9280
NPI assigned
May 12, 2016
Last updated
May 12, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2016

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

Authorized official

Name
Uday Kunadi, MDNPI 1538191093
Title
Co Owner
Phone
(810) 694-8423

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

414 Perry Rd
Grand Blanc, MI 48439-1467

Mailing address

414 Perry Rd
Grand Blanc, MI 48439-1467
Phone (810) 694-8423

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160525001062 MI Part B Supplier - Clinic/Group Practice 0749579191 Receives reassigned benefits from 3 practitioners
Practice locations: Grand Blanc, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D0920756Reddy and Kunadi MD PLC414 Perry Road Suite 3, Grand Blanc, MI 48439Certificate of waiverOct 8, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1463011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463011200000",
    "number": "1063868636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 PERRY RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484391467",
            "telephone_number": "810-694-8423",
            "fax_number": "810-694-9280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 PERRY RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484391467",
            "telephone_number": "810-694-8423",
            "fax_number": "810-694-9280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDDY & KUNADI MD PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-12",
        "last_updated": "2016-05-12",
        "status": "A",
        "authorized_official_last_name": "KUNADI",
        "authorized_official_first_name": "UDAY",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "810-694-8423",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.