| Mpba | |
|
690 S Trumbull St Bay City MI 48708-7656 | |
| (989) 922-4900 | |
| (989) 922-4911 |
| Full Name | Mpba |
|---|---|
| Speciality | Psychologist |
| Location | 690 S Trumbull St, Bay City, Michigan |
| Authorized Official Name and Position | Kishore Babu Kondapaneni (DOCTOR) |
| Authorized Official Contact | 9899224900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mpba 690 S Trumbull St Bay City MI 48708-7656 Ph: (989) 922-4900 | Mpba 690 S Trumbull St Bay City MI 48708-7656 Ph: (989) 922-4900 |
| NPI Number | 1144322496 |
|---|---|
| Provider Enumeration Date | 09/05/2006 |
| Last Update Date | 04/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144322496 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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