Lingareddy Devireddy MD PC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

4301080674 Issued in MI

Legal business name

LINGAREDDY DEVIREDDY MD PC

Practice address

11900 E 12 Mile Rd
Suite 103
Warren, MI 48093-3400

Phone

(586) 574-0890

Fax

(586) 574-9321

NPI assigned

Jan 26, 2015

Organization subpart

No

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

Authorized official

Name

Srinivas Koneru

Title

MD

Phone

(586) 574-0890

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1422230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422230400000",
    "number": "1194115402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11900 E 12 MILE RD",
            "address_2": "SUITE 103",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480933400",
            "telephone_number": "586-574-0890",
            "fax_number": "586-574-9321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11900 E 12 MILE RD",
            "address_2": "SUITE 103",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480933400",
            "telephone_number": "586-574-0890",
            "fax_number": "586-574-9321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINGAREDDY DEVIREDDY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-26",
        "last_updated": "2015-01-26",
        "status": "A",
        "authorized_official_last_name": "KONERU",
        "authorized_official_first_name": "SRINIVAS",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "586-574-0890"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MI",
            "license": "4301080674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margarete Liles, CRNA
• Shahana Hussain Lima
• Limitless Dental Care PLLC
• Daniel J Lin, MD
• Carey Chicorel Linden, M.D.
• Lingareddy Devireddy MD PC
• Sudhir V Lingnurkar, MD
• Roxana Lionte, FNP
• Jeff Lip
• Lanny Bert Lipson, D.C.

• Medical Specialty Clinic/Center in Warren, MI
• Providers in Warren, MI by specialty
• Medical Specialty Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; 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.