| NPI | 1225082654 |
|---|---|
| Former Legal Business Name | CARDIOVASCULAR PHYSICIAN PC |
| Entity Type | Organization |
| Authorized Contact | LINGAREDDY DEVIREDDY Physician 586-574-0890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MI 4301032513) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MI 4301080674) |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2010-01-14 |