Individual
LINGAREDDY DEVIREDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
4301032513
MI
207RI0011X
Interventional Cardiology Physician
Primary
4301032513
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000002170A
CAPE
—
01
—
0383495817
DCM
—
01
—
038349581701
SMART
—
01
—
0600039840M95180
PALMETTO
—
01
—
100566
GREAT LAKES
—
05
—
108252010
—
MI
01
—
109256
PREFERRED CHOICES
—
01
—
110E014810
BCBS
—
01
—
1110800008
WELLNESS
—
01
—
321304
ULTIMED
—
01
—
52410
OMNI
—
01
—
A74279
HAP
—
01
—
A8783
MCARE
—
Enumeration date
06/20/2006
Last updated
09/24/2019
Update your record
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