B Praveen Reddy M.D., PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

B PRAVEEN REDDY M.D., PC

Practice address

440 W Russell St
Saline, MI 48176-1184

Phone

(248) 730-6438

NPI assigned

Sep 1, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Bobbili Praveen Reddy, M.D.

Title

President

Phone

(248) 730-6438

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297296000000",
    "number": "1154433373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 30",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481680030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 W RUSSELL ST",
            "city": "SALINE",
            "state": "MI",
            "postal_code": "481761184",
            "telephone_number": "248-730-6438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B PRAVEEN REDDY M.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2011-02-10",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "BOBBILI",
        "authorized_official_middle_name": "PRAVEEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-730-6438",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE TRAV",
            "identifier": "P00603330",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marissa Atkinson
• Alexandra Krieg Audu, MD
• Phillip Franklin Augustyn, M.D.
• Angelica Avellaneda-Leiva
• Elizabeth Grace Avery, OD
• Timothy Baggett, NP-C
• Kemi Elena Bailey
• Corey Edward Bakian, D.C.
• Emily Baldus
• Khadijah Bansfield

• Internal Medicine Physician in Saline, MI
• Providers in Saline, MI by specialty
• Internal Medicine Physician in Michigan

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