Dr. Srinivas Reddy Mummadi
Internist Pulmonary Disease Critical Care Medicine
2122 Health Dr Sw
Wyoming
, Michigan 49519-9698
Dr. Srinivas Reddy Mummadi
Internist Pulmonary Disease Critical Care Medicine
2122 Health Dr Sw
Wyoming
, Michigan 49519-9698
(616) 252-0260
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About
Features
Specialties
- Internist
- Critical Care Medicine
- Pulmonary Disease
Languages spoken
- English
Location
First Address
- Dr. Srinivas Reddy Mummadi
- 5900 Byron Center Ave Sw Medical Administration
- Wyoming, MI
- Zip : 49519-9606
- Fax : (616) 252-0260
- Phone : (616) 252-3243
Second Address
- Dr. Srinivas Reddy Mummadi
- 2122 Health Dr Sw
- Wyoming, MI
- Zip : 49519-9698
- Fax : (616) 252-5770
- Phone : (616) 252-5220
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | BP1-0022250 | TX |
| N | 111NI0900X | Internist | BP1-0022250 | TX |
| N | 207RC0200X | Critical Care Medicine | MD 155301 | OR |
| N | 207RP1001X | Pulmonary Disease | 57.014364 | OH |
| Y | 207RP1001X | Pulmonary Disease | MD 155301 | OR |
National Provider Identifier
| NPI | 1043414626 |
|---|---|
| Provider Name | Dr. Srinivas Reddy Mummadi |
| First Address | Wyoming, MI 49519-9606 |
| Second Address | Wyoming, MI 49519-9698 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/06/2007 |
| Last Update Date | 17/03/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2777707366 | MYUTMB 2777707366-COMMERCIAL NUMBER (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.