Organization
LINGAREDDY DEVIREDDY MD PC
Active
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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