Organization
LINGAREDDY DEVIREDDY MD PC
Active
Other names
Cardiovascular Physician PC
Organization subpart
No
Provider details
NPI number
Authorized official
LINGAREDDY DEVIREDDY MD (PHYSICIAN)
(586) 574-0890
Entity
Organization
Contact information
Practice address
11900 E 12 MILE RD, SUITE 103, WARREN, MI 48093-3487
(586) 574-0890
(586) 574-0890
Mailing address
11900 E 12 MILE RD, SUITE 103, WARREN, MI 48093-3487
(586) 574-0890
(586) 574-9321
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
4301032513
MI
207RC0000X
Cardiovascular Disease Physician
4301080674
MI
Other
Enumeration date
05/20/2006
Last updated
01/14/2010
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