Kavitha Ponduri MD PC

NPI #1336344431 in Wayne, Michigan

Provider Information

NPI Number: 1336344431
Entity Type: Organization
Organization Name: Kavitha Ponduri MD PC
Primary Specialty: Internal Medicine
Enumeration Date: Jun 19, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 34659 W MICHIGAN AVE
City: Wayne
State: Michigan
ZIP Code: 48184-1730
Phone: (734) 722-2400

Authorized Official

Name: DR. KAVITHA PONDURI, M.D.
Title: PRESIDENT
Phone: (734) 722-2400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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