NPIMap

Organization Active NPI

Pritham P. Reddy, PLLC

  • Vascular Surgery Physician
  • Southfield, MI
National Provider Identifier
1235442732
Registry record updated Jul 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
4301075046 Issued in MI
Legal business name
PRITHAM P. REDDY, PLLC
Practice address
22250 Providence Drive
Suite #555
Southfield, MI 48152
Phone
(248) 424-5748
Fax
(248) 443-1706
NPI assigned
Jul 26, 2010
Organization subpart
Yes
Parent organization
PRITHAM REDDY M.D.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 26, 2010

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

Authorized official

Name
Pritham P. Reddy, MD
Title
President
Phone
(248) 424-5748

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0129X 4301075046 MI Primary

Addresses

Primary practice location

22250 Providence Drive
Suite #555
Southfield, MI 48152

Mailing address

22250 Providence Dr
Suite 555
Southfield, MI 48075-4825
Phone (248) 424-5748

National Provider Directory

National Provider Directory
Part of
Pritham P Reddy PLLC

NPI Registry JSON

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

{
    "created_epoch": "1280102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280102400000",
    "number": "1235442732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22250 PROVIDENCE DR",
            "address_2": "SUITE 555",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754825",
            "telephone_number": "248-424-5748",
            "fax_number": "248-443-1706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22250 PROVIDENCE DRIVE",
            "address_2": "SUITE #555",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "48152",
            "telephone_number": "248-424-5748",
            "fax_number": "248-443-1706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRITHAM P. REDDY, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRITHAM REDDY M.D.",
        "enumeration_date": "2010-07-26",
        "last_updated": "2010-07-26",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "PRITHAM",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-424-5748",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "MI",
            "license": "4301075046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2010; 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.