| Dr Kavitha Ponduri, MD | |
|
34659 W Michigan Ave, Wayne, MI 48184-1730 | |
| (734) 722-2400 | |
| (734) 722-1709 |
| Full Name | Dr Kavitha Ponduri |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 32 Years |
| Location | 34659 W Michigan Ave, Wayne, Michigan |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679568315 | NPI | - | NPPES |
| 3437472 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301063347 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Beaumont Hospital - Wayne | Wayne, MI | Hospital |
| Beaumont Hospital - Dearborn | Dearborn, MI | Hospital |
| Beaumont Hospital Royal Oak | Royal oak, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kavitha Ponduri Md Pc | 5395845143 | 2 |
| Entity Name | Kavitha Ponduri Md Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336344431 PECOS PAC ID: 5395845143 Enrollment ID: O20070710000513 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kavitha Ponduri, MD 34659 W Michigan Ave, Wayne, MI 48184-1730 Ph: (734) 722-2400 | Dr Kavitha Ponduri, MD 34659 W Michigan Ave, Wayne, MI 48184-1730 Ph: (734) 722-2400 |
Ruta Sharangpani, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 33030 Van Born Rd, Wayne, MI 48184 Phone: 734-727-7010 | |
Dr. Chandrakant H Pujara, M.D Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 4020 Venoy Rd, Suite 200, Wayne, MI 48184 Phone: 734-729-6710 Fax: 734-729-6715 | |
Jairaj D Mulchandani, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 32320 Michigan Ave, Wayne, MI 48184 Phone: 734-641-3630 Fax: 734-641-1520 | |
Mohamad El Abdallah, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 33155 Annapolis St, Wayne, MI 48184 Phone: 734-467-4000 Fax: 734-467-4017 | |
Dr. Sasi B Boppana, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 34659 W Michigan Ave, Wayne, MI 48184 Phone: 734-722-2400 Fax: 734-722-1709 | |
Khawar Aslam Chaudhry, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 34815 W Michigan Ave Ste 1, Wayne, MI 48184 Phone: 734-713-7189 Fax: 734-263-1295 | |
Hussein Fouad Bazzy, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 33155 Annapolis St, Wayne, MI 48184 Phone: 734-467-4000 |