DR. Kavitha Ponduri, M.D.

NPI #1679568315 in Wayne, Michigan

Provider Information

NPI Number: 1679568315
Entity Type: Individual
Name: DR. Kavitha Ponduri, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: Sep 20, 2005
Last Updated: Dec 25, 2017

Practice Location

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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