Sasi Boppana (NPI# 1528053196, PAC ID# 6901906759) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1528053196 |
| PAC ID by PECOS | 6901906759 |
| Professional Enrollment ID | I20070710000535 |
| Full Name | Sasi Boppana |
| Organization Legal Name | KAVITHA PONDURI MD PC |
| Address |
34659 W Michigan Ave Wayne MI 48184-1730 |
| Phone Number | 7347222400 |
| Gender | M |
| Graduation Year | 1995 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 5395845143 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230142 | BEAUMONT HOSPITAL - WAYNE |
| 230020 | BEAUMONT HOSPITAL - DEARBORN |
| Address | Phone | Organization |
|---|---|---|
| 34659 W Michigan Ave, Wayne, MI 48184-1730 | 7347222400 | KAVITHA PONDURI MD PC |
| Organization Legal Name | KAVITHA PONDURI MD PC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kavitha Ponduri | Internal Medicine | Kavitha Ponduri Md PC | 34659 W Michigan Ave, Wayne, MI 48184-1730 |
| Street Address |
34659 W MICHIGAN AVE |
| City | WAYNE |
| State | MI |
| Zip | 48184-1730 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kavitha Ponduri | Internal Medicine | Kavitha Ponduri Md PC | 34659 W Michigan Ave, Wayne, MI 48184-1730 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vijay C Patel | Family Medicine | 2901 S Newburgh Rd, Wayne, MI 48184-1001 | |
| Toms P Mathew | Internal Medicine | 3106 S Wayne Rd, Wayne, MI 48184-1221 | |
| Adewunmi O Adeyemo | Colorectal Surgery (proctology) | 3106 S Wayne Rd, Wayne, MI 48184-1221 | |
| Aylmer D Evangelista | Internal Medicine | Evangelista Md Pllc | 3999 Venoy Rd, Wayne, MI 48184-1485 |
| Robert Paris | Family Practice | Health Risk Assessments Pllc | 35540 W Michigan Ave, Suite 300, Wayne, MI 48184-1626 |
| Philip Gilly | Addiction Medicine | Michigan Healthcare Professionals PC | 35640 W Michigan Ave, Gammons Medical, Wayne, MI 48184-1628 |
| Michael A Warmuskerken | Optometry | 35119 E Michigan Ave, Wayne, MI 48184-1660 | |
| Arthur B Kellert | Podiatry | 35519 Michigan Ave E, Wayne, MI 48184-1682 | |
| Marie D Libbey | Nurse Practitioner | Pocs Mental Health PC | 34841 Veterans Plz, Wayne, MI 48184-1733 |
| Patricia F Yourchock Orr | Nurse Practitioner | Pocs Mental Health PC | 34841 Veterans Plz, Wayne, MI 48184-1733 |
| Find all physicians in zip 48184 | |||
| City | WAYNE |
| Zip Code | 48184 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | WAYNE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Sasi Boppana.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.