Ponduri, Kavitha
Ponduri, Kavitha is an sole proprietor health care provider with primary practice located at 34659 W Michigan Ave , Wayne MI 48184-1730. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Ponduri, Kavitha can be contacted via phone (734) 722-2400.Contact Information
Primary practice address
34659 W Michigan Ave
Wayne MI 48184-1730
Phone: (734) 722-2400
Fax: (734) 722-1709
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301063347 | Michigan |
Profile Details
| NPI number | 1679568315 |
|---|---|
| LBN Legal business name | Ponduri, Kavitha |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 20th, 2005 |
| Last updated | Dec 25th, 2017 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679568315 | NPPES |
| Michigan | MEDICAID | 3437472 |
Popular Providers
-
Vicencio, Normita Davila
4020 Venoy Road Suite 300, Wayne MI 48184 -
Randell, Andrea Lee
2770 Capital Medical Blvd Ste 200 , Tallahassee FL 32308-8419 -
El Abdallah, Mohamad
33155 Annapolis St , Wayne MI 48184-2405 -
Sharangpani, Ruta
33030 Van Born Rd , Wayne MI 48184-2453 -
Mulchandani, Jairaj D
32320 Michigan Ave , Wayne MI 48184 -
Merrick, Bryan Hale
205 Hospital Dr Ste A, Mc Kenzie TN 38201-1649 -
Regalado, Luningning V
4020 Venoy Rd , Wayne MI 48184-1869 -
Wittman, William J
10 Bramblebush Park , Falmouth MA 02540-2325