Rajamathias Y Reddy MD, PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

RR066814 Issued in MI

Legal business name

RAJAMATHIAS Y REDDY MD, PLLC

Practice address

901 Kimole LN Ste B3
Adrian, MI 49221-1491

Phone

(517) 263-7337

Fax

(517) 263-6150

NPI assigned

Jun 10, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Rajamathias Y Reddy, MDNPI 1225127848

Title

Physician

Phone

(517) 263-7337

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• RAJAMATHIAS REDDY MD Former legal business name

Locations

Practitioners 1

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

• Rajamathias Y Reddy, M.D.

  • Pediatrics Physician
  • Adrian, MI
  • NPI 1225127848
  NPD (past) Authorized official

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

{
    "created_epoch": "1307664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307664000000",
    "number": "1124313861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 KIMOLE LN STE B3",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492211491",
            "telephone_number": "517-263-7337",
            "fax_number": "517-263-6150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 KIMOLE LN STE B3",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492211491",
            "telephone_number": "517-263-7337",
            "fax_number": "517-263-6150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAJAMATHIAS Y REDDY MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-10",
        "last_updated": "2011-06-10",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "RAJAMATHIAS",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "517-263-7337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "RR066814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF MICHIGAN",
            "identifier": "3504600762",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARAMOUNT",
            "identifier": "03715",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "RR066814",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4125980",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIORITY HEALTH",
            "identifier": "7000323531",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RAJAMATHIAS REDDY MD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Pediatrics Physician in Adrian, MI
• Providers in Adrian, MI by specialty
• Pediatrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2011; 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.