# LINGAREDDY DEVIREDDY MD PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194115402
- **Authorized official:** SRINIVAS KONERU (MD)
- **Authorized official phone:** (586) 574-0890

## Contact information

- **Practice address:** 11900 E 12 MILE RD, SUITE 103, WARREN, MI 48093-3400
- **Practice address phone:** (586) 574-0890
- **Practice address fax:** (586) 574-9321
- **Mailing address:** 11900 E 12 MILE RD, SUITE 103, WARREN, MI 48093-3400
- **Mailing address phone:** (586) 574-0890
- **Mailing address fax:** (586) 574-9321

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 4301080674 | MI | Yes |

## Other

- **Enumeration date:** 01/26/2015
- **Last updated:** 01/26/2015