Gunda S. Reddy MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

GR043925 Issued in MI

Legal business name

GUNDA S. REDDY MD PC

Practice address

3273 Davison Rd Ste 1
Lapeer, MI 48446-2902

Phone

(810) 245-3188

Fax

(810) 245-6993

NPI assigned

Mar 15, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Gunda Sathyanaraya Reddy, M.D.NPI 1245206598

Title

President

Phone

(810) 245-3188

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 3

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

• Gunda Sathyanaraya Reddy, MD

  • Gastroenterology Physician
  • Lapeer, MI
  • NPI 1245206598
  Medicare reassignment NPD Authorized official
• Naveen Gunda Reddy, M.D.

  • Gastroenterology Physician
  • Clarkston, MI
  • NPI 1134292154

  Internal Medicine

  Medicare reassignment NPD
• Marcus Alan Daig, PA

  • Medical Physician Assistant
  • Lapeer, MI
  • NPI 1861428021
  Medicare reassignment

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437283181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3273 DAVISON RD STE 1",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484462902",
            "telephone_number": "810-245-3188",
            "fax_number": "810-245-6993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3273 DAVISON RD STE 1",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484462902",
            "telephone_number": "810-245-3188",
            "fax_number": "810-245-6993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUNDA S. REDDY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "GUNDA",
        "authorized_official_middle_name": "SATHYANARAYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-245-3188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "GR043925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4069165",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jan C Gromada, DO
• Penelope Gronda
• Growth & Opportunity, Inc.
• Kayla Lynn Grunewald
• Nicole Guerrerro
• Christina Guster
• H2G Dental PLLC
• Thomas N Haase, PT, DPT
• Melissa Haass, R.N.
• Carrie Hadley

• Internal Medicine Physician in Lapeer, MI
• Providers in Lapeer, 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 22, 2020; 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.