Damayanthi Pandrangi MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301063797 Issued in MI

Legal business name

DAMAYANTHI PANDRANGI MD PC

Practice address

1170 Charter Dr
Suite E
Flint, MI 48532-3587

Phone

(810) 733-0500

Fax

(810) 733-5949

NPI assigned

May 14, 2008

Last updated

Aug 26, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Damayanthi V Pandrangi, MDNPI 1407818594

Title

Owner

Phone

(810) 733-0500

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 1

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.

• Damayanthi V Pandrangi, MD

  • Internal Medicine Physician
  • Flint, MI
  • NPI 1407818594
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219708800000",
    "number": "1225205776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5155 NORKO DR",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485073021",
            "telephone_number": "810-230-7042",
            "fax_number": "810-743-1610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 CHARTER DR",
            "address_2": "SUITE E",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323587",
            "telephone_number": "810-733-0500",
            "fax_number": "810-733-5949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAMAYANTHI PANDRANGI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-14",
        "last_updated": "2008-08-26",
        "status": "A",
        "authorized_official_last_name": "PANDRANGI",
        "authorized_official_first_name": "DAMAYANTHI",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-733-0500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301063797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4402239",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Diane Daley, RN
• Carlo A Dall'Olmo, M.D.
• Catherine Rose Dalton, RN, BSN
• Donald Vincent Daly Jr., PA-C
• Hattan Damanhouri
• Daryl G Damron, PA-C
• Dan Daniels PC
• Alireza Daneshvar, D.D.S
• Daniel J Ryan MD PC
• Briona Marcel Daniel

• Internal Medicine Physician in Flint, MI
• Providers in Flint, 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 Aug 26, 2008; 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.