University Allergy & Asthma Center PLLC

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

4301078486 Issued in MI

Legal business name

UNIVERSITY ALLERGY & ASTHMA CENTER PLLC

Practice address

23077 Greenfield Rd
Suite 479
Southfield, MI 48075-3709

Phone

(313) 891-1500

NPI assigned

Feb 8, 2012

Last updated

Jun 5, 2015By 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

Dr. Sudha Reddy, M.DNPI 1922023340

Title

Medical Director

Phone

(313) 891-1500

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/10301/brand/1/csg/1/fhir/r4

Practitioners 4

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.

• Sudha Reddy, M.D.

  • Allergy & Immunology Physician
  • Hamtramck, MI
  • NPI 1922023340
  Medicare reassignment NPD Authorized official
• Muzafar Hussain, PT

  • Physical Therapist
  • Pontiac, MI
  • NPI 1295741155
  NPD (past)
• Harshavardhan R Krishna, M.D

  • Internal Medicine Physician
  • Hamtramck, MI
  • NPI 1154354769
  NPD (past)
• Jacob Mastropaolo, PA-C

  • Physician Assistant
  • Novi, MI
  • NPI 1356940175
  NPD (past)

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

{
    "created_epoch": "1328659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433462400000",
    "number": "1225300155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9324 CONANT ST",
            "address_2": "SUITE B",
            "city": "HAMTRAMCK",
            "state": "MI",
            "postal_code": "482123506",
            "telephone_number": "313-891-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23077 GREENFIELD RD",
            "address_2": "SUITE 479",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753709",
            "telephone_number": "313-891-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY ALLERGY & ASTHMA CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-08",
        "last_updated": "2015-06-05",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "SUDHA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "313-891-1500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "MI",
            "license": "4301078486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Universal Clinic P.C.
• Universal Home Health Care,Inc.
• Universal Hospice Care, Inc.
• Universal Palliative Care Services PLLC
• Universal Rehabilitation Services Inc
• University Neurosurgical Associates PC (Michigan Head and Spine Institute)
• University Otolaryngology
• University Otolaryngology
• University Physician Group (Wayne State University Physician Group)
• University Physician Group (Wayne State University Physician Group)

• Allergy & Immunology Physician in Southfield, MI
• Providers in Southfield, MI by specialty
• Allergy & Immunology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.