Organization
LINGAREDDY DEVIREDDY MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SRINIVAS KONERU (MD)
(586) 574-0890
Entity
Organization
Contact information
Practice address
11900 E 12 MILE RD, SUITE 103, WARREN, MI 48093-3400
(586) 574-0890
(586) 574-9321
Mailing address
11900 E 12 MILE RD, SUITE 103, WARREN, MI 48093-3400
(586) 574-0890
(586) 574-9321
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
4301080674
MI
Other
Enumeration date
01/26/2015
Last updated
01/26/2015
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