Asthma & Allergy Centers of Central Michigan, PLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

RA056534 Issued in MI

Legal business name

ASTHMA & ALLERGY CENTERS OF CENTRAL MICHIGAN, PLC

Practice address

1515 Lake Lansing Rd
G1
Lansing, MI 48912-3753

Phone

(517) 484-3966

Fax

(517) 484-9279

NPI assigned

Dec 3, 2006

Last updated

Aug 22, 2020By 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. Ramesh Babu Avula, M.D.NPI 1205867967

Title

Physician

Phone

(517) 484-3966

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

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.

• Ramesh Babu Avula, M.D.

  • Allergy & Immunology Physician
  • Lansing, MI
  • NPI 1205867967
  Medicare reassignment NPD Authorized official
• Sudhir Gondy Rao, MD (MB;BS)

  • Allergy & Immunology Physician
  • Toledo, OH
  • NPI 1396723904
  NPD (past)

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

{
    "created_epoch": "1165104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740358035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 LAKE LANSING RD",
            "address_2": "G1",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489123753",
            "telephone_number": "517-484-3966",
            "fax_number": "517-484-9279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 LAKE LANSING RD",
            "address_2": "G1",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489123753",
            "telephone_number": "517-484-3966",
            "fax_number": "517-484-9279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASTHMA & ALLERGY CENTERS OF CENTRAL MICHIGAN, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AVULA",
        "authorized_official_first_name": "RAMESH",
        "authorized_official_middle_name": "BABU",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "517-484-3966",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "RA056534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Lansing, MI
• Providers in Lansing, MI by specialty
• Specialist 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.