Integrated Home Clinic

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

License

4301075965 Issued in MI

Legal business name

INTEGRATED HOME CLINIC

Doing business as

Integrated Health Services

Practice address

23077 Greenfield Rd
240
Southfield, MI 48075-3709

Phone

(248) 809-6402

Fax

(248) 809-6417

NPI assigned

Jan 18, 2011

Last updated

Dec 13, 2013By 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. Sailaja Peddireddy, M.D.NPI 1225215569

Title

M.D.

Phone

(248) 809-6402

Specialties & licenses 1

Addresses

Other names 1

• Integrated Health Services Doing business as

Locations

Practitioners 1

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.

• Sailaja Peddireddy, MD

  • Internal Medicine Physician
  • Southfield, MI
  • NPI 1225215569
  Authorized official Same address or phone

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

{
    "created_epoch": "1295308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386892800000",
    "number": "1750686143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23077 GREENFIELD RD",
            "address_2": "240",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753709",
            "telephone_number": "248-809-6402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23077 GREENFIELD RD",
            "address_2": "240",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753709",
            "telephone_number": "248-809-6402",
            "fax_number": "248-809-6417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED HOME CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-18",
        "last_updated": "2013-12-13",
        "status": "A",
        "authorized_official_last_name": "PEDDIREDDY",
        "authorized_official_first_name": "SAILAJA",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "248-809-6402",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "MI",
            "license": "4301075965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrated Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Inside Out Recovery LLC
• Insight Center for Creative Counseling, LLC
• Institute of Sleep & Health LLC
• Institute of Sleep & Wellness LLC
• Integrated Dermatology of Southfield PLLC
• Integrated Physician Solutions PC
• Integrated Therapy and Diagnostics,LLC
• Integrated Visiting Physician Solutions PC
• Integrative Care, LLC (Home Helpers Home Care)
• Integrative Neurology , PLLC

• Community Health Clinic/Center in Southfield, MI
• Providers in Southfield, MI by specialty
• Community Health Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2013; 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.