Kavitha Ponduri Md Pc in Wayne - Internal Medicine
Kavitha Ponduri Md Pc - NPI 1336344431
Kavitha Ponduri Md Pc is a Internal Medicine in Wayne, Michigan. Kavitha Ponduri Md Pc practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Kavitha Ponduri Md Pc is 1336344431. The last update date is 2020-08-22.
Kavitha Ponduri Md Pc's current location address is 34659 W Michigan Ave, Wayne, Michigan. You can contact this provider via phone number 7347222400 and fax number 7347221709. The mailing address for Kavitha Ponduri Md Pc is 34659 W Michigan Ave, Wayne, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kavitha Ponduri Md Pc |
|---|---|
| Address | 34659 W Michigan Ave, Wayne, Michigan |
| Phone Number | 7347222400 |
| Fax Number | 7347221709 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Ponduri Kavitha |
| Credentials | M.D. |
| Telephone Number | 7347222400 |
NPI Number Detail
| NPI Number | 1336344431 |
|---|---|
| Provider Enumeration Date | 2007-06-19 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 34659 W Michigan Ave |
|---|---|
| City | Wayne |
| State | Michigan (MI) |
| Post Code | 481841730 |
| Phone Number | 7347222400 |
| Fax Number | 7347221709 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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What is the unique identification code assigned to Kavitha Ponduri Md Pc by the Centers for Medicare & Medicaid Services?
The Kavitha Ponduri Md Pc has been issued the NPI (National Provider Identifier) 1336344431. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Kavitha Ponduri Md Pc?
The Kavitha Ponduri Md Pc is situated at 34659 W Michigan Ave, in the city of Wayne, state of MI, with the zip code 481841730.
What is Kavitha Ponduri Md Pc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kavitha Ponduri Md Pc's area of specialization is Internal Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207R00000X.
On what date did Kavitha Ponduri Md Pc receive its 1336344431 assignment from the Centers for Medicare & Medicaid Services?
The Kavitha Ponduri Md Pc was assigned its 1336344431 on 2007-06-19, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Kavitha Ponduri Md Pc last refreshed?
The information related to the Kavitha Ponduri Md Pc, including its address, specialty, and other relevant details, was last updated on 2020-08-22.
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