LINGAREDDY DEVIREDDY MD PC
NPI 1194115402
Clinic/Center - Medical Specialty in Warren, MI

Q: What is Lingareddy Devireddy MD PC's NPI number?

The NPI number for Lingareddy Devireddy MD PC is 1194115402. It was assigned to this organization in the NPPES registry on January 26, 2015.

Q: What is Lingareddy Devireddy MD PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Active since January 26, 2015

11900 E 12 MILE RD, SUITE 103, WARREN, MI 48093(586) 574-0890(586) 574-9321 Get Directions Write a Review

NPPES record last updated: January 26, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Lingareddy Devireddy Md Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LINGAREDDY DEVIREDDY MD PC (NPI 1194115402) is a healthcare organization registered as a medical specialty in Warren, Michigan and active in the NPI registry since January 2015. The organization lists Srinivas Koneru, Md, as its authorized official.

NPPES Registry Identity

NPI1194115402

Entity TypeOrganization

Primary Taxonomy261QM2500X

Legal Business NameLINGAREDDY DEVIREDDY MD PC

Location Address11900 E 12 MILE RD, SUITE 103Warren, MI 48093-3400

Mailing Address11900 E 12 Mile Rd, Suite 103Warren, MI 48093-3400 · (586) 574-0890 · Fax (586) 574-9321

Phone(586) 574-0890

Fax(586) 574-9321

Organization SubpartNo

Authorized OfficialSrinivas KoneruMd · (586) 574-0890

Enumeration DateJanuary 26, 2015

✔ NPI 1194115402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM2500X

License✔ Licensed in MI · 4301080674

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).

11900 E 12 MILE RD, Warren, MI 48093

Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASCENSION MEDICAL GROUP MICHIGAN

Orthopaedic Surgery

11900 E 12 MILE RD, SUITE 110
WARREN, MI 48093

Macomb County (586) 582-7070

SALIM MERAM MD

Internal Medicine

11900 E 12 MILE RD, SUITE 100
WARREN, MI 48093

Macomb County (586) 573-5890

DAVID H MENDELSON MD

Orthopaedic Surgery

11900 E 12 MILE RD, SUITE 110
WARREN, MI 48093

Macomb County (586) 582-7070

KIM MARGOLIS MD

Internal Medicine

11900 E 12 MILE RD, SUITE 200
WARREN, MI 48093

Macomb County (586) 558-9033

SARAH MCKENDRICK HAVENS P.A.

Physician Assistant

11900 E 12 MILE RD, SUITE 110
WARREN, MI 48093

Macomb County (586) 261-2600

JILL F. DELY PA-C

Physician Assistant

11900 E 12 MILE RD, SUITE 103
WARREN, MI 48093

Macomb County (586) 574-0890

ANTHONY P. BARON MD

Internal Medicine (Rheumatology)

11900 E 12 MILE RD, SUITE 300
WARREN, MI 48093

Macomb County (586) 751-2072

STUART R GILDENBERG MD

Dermatology

11900 E 12 MILE RD, STE 201
WARREN, MI 48093

Macomb County (586) 574-2800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lingareddy Devireddy MD PC's NPI number?

The NPI number for Lingareddy Devireddy MD PC is 1194115402. It was assigned to this organization in the NPPES registry on January 26, 2015.

Where is Lingareddy Devireddy MD PC located?

Lingareddy Devireddy MD PC is located at 11900 E 12 Mile Rd Suite 103, Warren, MI 48093. The listed phone number is (586) 574-0890.

What is Lingareddy Devireddy MD PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Lingareddy Devireddy MD PC was last updated on January 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.