KAVITHA PONDURI MD PC (NPI# 1336344431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336344431 |
| Entity Type | Organization |
| Organization Name | KAVITHA PONDURI MD PC |
| Practice Address |
34659 W Michigan Ave Wayne MI 48184-1730 |
| Practice Telephone | 7347222400 |
| Practice Fax Number | 7347221709 |
| Mailing Telephone | 7347222400 |
| Mailing Fax Number | 7347221709 |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. KAVITHA PONDURI (PRESIDENT) |
| Authorized Official Telephone | 7347222400 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
34659 W MICHIGAN AVE |
| City | WAYNE |
| State | MI |
| Zip Code | 48184-1730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679568315 | Kavitha Ponduri | Internal Medicine | 34659 W Michigan Ave, Wayne, MI 48184-1730 | 2005-09-20 |
| 1528053196 | Sasi B Boppana | Internal Medicine | 34659 W Michigan Ave, Wayne, MI 48184-1730 | 2005-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215570932 | Wayne Rx | Pharmacy | 4603 Wayne Rd, Wayne, MI 48184 | 2019-10-25 |
| 1669902433 | Randi Oswald | Massage Therapist | 34336 Richard St., Wayne, MI 48184 | 2017-06-14 |
| 1306393822 | Amanda Anastasoff | Technician, Other | 35640 West Michigan Avenue, Wayne, MI 48184 | 2016-09-01 |
| 1871941302 | Christopher Schrimscher | Technician, Other | 34560 Michigan Avenue W, Wayne, MI 48184 | 2016-05-25 |
| 1659757334 | Anna Bondy | Technician, Other | 35640 Michigan Ave. West, Wayne, MI 48184 | 2015-08-05 |
| 1992184550 | Carrie Walrath | Community Health Worker | 4234 Niagara, Wayne, MI 48184 | 2015-05-28 |
| 1588043459 | Suzanne Cutlip | Case Manager/Care Coordinator | 35425 Michigan Ave. W. Suite 1, Wayne, MI 48184 | 2015-05-26 |
| 1285021295 | Alicia Allen | Technician, Other | 35640 Michigan Avenue West, Wayne, MI 48184 | 2015-04-17 |
| 1164843850 | Julia Krivoy | Nurse Anesthetist, Certified Registered | 33155 Annapolis St., Beaumont/oakwood Hospital - Wayne, Wayne, MI 48184 | 2013-12-23 |
| 1992130553 | One Stop Pharmacy LLC | Pharmacy | 33950 Van Born Rd, Wayne, MI 48184 | 2013-09-13 |
| Find all providers in zip 48184 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| 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 diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487202354 | Candace Wang | Internal Medicine | 128 Bobolink Ct, Wayne, NJ 07470-8452 | 2019-09-03 |
| 1356865182 | Ch Aslam Enterprises Pllc | Internal Medicine | 34815 W Michigan Ave Ste 1, Wayne, MI 48184-1895 | 2017-08-02 |
| 1205284437 | Abhijit Kasinadhuni | Internal Medicine | 744 W Lancaster Ave Ste 225, Wayne, PA 19087-2557 | 2016-05-27 |
| 1316391907 | Stephanie Duarte | Internal Medicine | 1578 Rte 23 Ste 203, Wayne, NJ 07470-7516 | 2016-04-20 |
| 1487056008 | Madeeha Shahzadi | Internal Medicine | 401 Hamburg Tpke Ste 107, Wayne, NJ 07470-2139 | 2014-09-26 |
| 1821331653 | Michael S. Devine | Internal Medicine | 165 Ridgewood Rd, Wayne, PA 19087-2846 | 2013-03-29 |
| 1366710121 | Daniel George Baker | Internal Medicine | 7 Welwyn Rd, Wayne, PA 19087-3881 | 2011-12-08 |
| 1871885509 | Anuj Kapoor | Internal Medicine | 510 Hamburg Turnpike, Ste 101, Wayne, NJ 07470 | 2011-05-13 |
| 1578872776 | Stephan Joseph Dorkhom | Internal Medicine | 234 Hamburg Tpke Ste 202, Wayne, NJ 07470-2149 | 2010-10-05 |
| 1477869329 | Carl Friedman | Internal Medicine | 639 Colonel Dewees Rd, Wayne, PA 19087-1305 | 2010-08-28 |
| Find all providers in WAYNE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.