Soumya Madala MD PLLC

Primary specialty

Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X

License

4301085495 Issued in MI

Legal business name

SOUMYA MADALA MD PLLC

Practice address

3937 Patient Care Way Ste 102
Lansing, MI 48911-4287

Phone

(517) 887-6763

NPI assigned

Jan 6, 2010

Organization subpart

No

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

Authorized official

Name

Soumya MadalaNPI 1043334527

Title

Owner

Phone

(517) 339-0322

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Soumya Chowdary Madala, M.D.

  • Sleep Medicine (Internal Medicine) Physician
  • Grand Rapids, MI
  • NPI 1043334527
  NPD (past) Authorized official

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

{
    "created_epoch": "1262736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266451200000",
    "number": "1376873760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3937 PATIENT CARE DRIVE",
            "address_2": "#102",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "48911",
            "telephone_number": "517-887-6763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3937 PATIENT CARE WAY STE 102",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489114287",
            "telephone_number": "517-887-6763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUMYA MADALA MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-06",
        "last_updated": "2010-02-18",
        "status": "A",
        "authorized_official_last_name": "MADALA",
        "authorized_official_first_name": "SOUMYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-339-0322"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301085495",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "MI",
            "license": "4301085495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne Sorkin, M.D.
• Cedric H.F Sossou, NP
• John Sougstad, LMSW
• Heather Soule
• Cory Soulliere
• Sound Mind Counseling Services LLC
• Fadi Souri
• South Cedar Osteopathic Services, P.C.
• Southside Medical Center Inc
• Christopher N Sovey, PT, DPT, RN, BSN

• Sleep Medicine (Internal Medicine) Physician in Lansing, MI
• Providers in Lansing, MI by specialty
• Sleep Medicine (Internal Medicine) Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.