Mummadi, Srinivas Reddy

Mummadi, Srinivas Reddy is an individual health care provider with primary practice located at 2122 Health Dr Sw , Wyoming MI 49519-9698. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Mummadi, Srinivas Reddy can be contacted via phone (616) 252-5220.

Contact Information

Primary practice address
2122 Health Dr Sw Wyoming MI 49519-9698
Phone: (616) 252-5220
Fax: (616) 252-5770
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X BP1-0022250 Texas
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X MD 155301 Oregon
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 57.014364 Ohio
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X MD 155301 Oregon

Profile Details

NPI number 1043414626
LBN Legal business name Mummadi, Srinivas Reddy
Credentials MBBS
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2007
Last updated Mar 17th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043414626 NPPES
Other 2777707366 MYUTMB 2777707366-COMMERCIAL NUMBER

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