Ravikumar R Peddireddy MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301058453 Issued in MI

Legal business name

RAVIKUMAR R PEDDIREDDY MD PC

Practice address

G1071 N Ballenger Hwy
Suite 206
Flint, MI 48504-4453

Phone

(810) 234-1651

Fax

(810) 234-5959

NPI assigned

Oct 30, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Bradley Eshbaugh

Title

Secretary

Phone

(810) 239-6731

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720742400000",
    "number": "1679752349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "G1071 N BALLENGER HWY",
            "address_2": "SUITE 206",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485044453",
            "telephone_number": "810-234-1651",
            "fax_number": "810-234-5959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "G1071 N BALLENGER HWY",
            "address_2": "SUITE 206",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485044453",
            "telephone_number": "810-234-1651",
            "fax_number": "810-234-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAVIKUMAR R PEDDIREDDY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A",
        "authorized_official_last_name": "ESHBAUGH",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "810-239-6731",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301058453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3054785",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark James Rasmussen
• Monee Rassolian, MD
• Betty L Rathfon, LMSW
• Keri Ratowski, LPC
• Rohit Rauniyar, MD
• Gagandeep Singh Rawal, M.D
• Maneet Rawal, D. D. S
• Cheryl Ray
• Jessica Ray, DDS
• Thomas Ray

• 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 Jul 12, 2024; 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.