Gopal Reddy, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

4301040965 Issued in MI

Practice address

455 S Livernois
Ste B23
Rochester, MI 48307-2578

Phone

(248) 651-8888

Fax

(248) 651-2400

NPI assigned

Jul 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164454161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 S LIVERNOIS",
            "address_2": "STE B23",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483072578",
            "telephone_number": "248-651-8888",
            "fax_number": "248-651-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 S LIVERNOIS",
            "address_2": "STE B23",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483072578",
            "telephone_number": "248-651-8888",
            "fax_number": "248-651-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "GOPAL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301040965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3022173",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pranita Vemulapalli Rambhatla, M.D.
• Raphtis Optical Inc.
• Efthemios Raphtis, M.D.
• Kaelin A Ray
• Ann Kathleen Rayford, ANP-BC
• Kala Gopal Reddy, M.D.
• Brian K Reedy, M.D.
• Regents of the Univ of Michigan Heart Surgery Program Critteton
• Kevin Rem, LPC
• Kellie Lynn Reno, OTRL

• Cardiovascular Disease Physician in Rochester, MI
• Providers in Rochester, 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 Jul 8, 2007; 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.