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Lingareddy Devireddy Md Pc
Medical Specialty Clinic/Center in Warren, Michigan
NPI 1194115402

Lingareddy Devireddy Md Pc is a Medical Specialty Clinic/Center based in Warren, MI and is specialized in Medical Specialty. Lingareddy Devireddy Md Pc practices in Warren, MI. The NPI Number for Lingareddy Devireddy Md Pc is 1194115402 and holds a License No. 4301080674 (Michigan).

The current practice location address for Lingareddy Devireddy Md Pc is 11900 E 12 Mile Rd, Warren, MI and can be reached out via phone at 586-574-0890 and via fax at 586-574-9321. You can also correspond with Lingareddy Devireddy Md Pc through the mailing address at 11900 E 12 MILE RD, WARREN, MI - 48093-3400 (mailing address contact number: 586-574-0890).

Location: 11900 E 12 Mile Rd, Warren, MI, 48093-3400
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1194115402
Provider Name
Lingareddy Devireddy Md Pc
Credential
Provider Entity Type
Organization
Address
11900 E 12 Mile Rd, Warren, MI, 48093-3400
Phone Number
586-574-0890
Fax Number
586-574-9321
Provider Enumeration Date
01/26/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11900 E 12 Mile Rd
City
Warren
State
Michigan
Zip
48093-3400
Phone Number
586-574-0890
Fax Number
586-574-9321
person
Provider Business Mailing Address Details
Address
11900 E 12 Mile Rd
City
Warren
State
Michigan
Zip
48093-3400
Phone Number
586-574-0890
Fax Number
586-574-9321
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
4301080674 (Michigan)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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