| Sirisha Koneru, M.d, P.C. | |
|
43171 Dalcoma Dr Clinton Township MI 48038-6307 | |
| (586) 263-9772 | |
| Not Available |
| Full Name | Sirisha Koneru, M.d, P.C. |
|---|---|
| Speciality | Family Medicine |
| Location | 43171 Dalcoma Dr, Clinton Township, Michigan |
| Authorized Official Name and Position | Sirisha Koneru (PRESIDENT) |
| Authorized Official Contact | 2488888410 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sirisha Koneru, M.d, P.C. 1762 Wyngate Dr Troy MI 48098-6545 Ph: (248) 888-8410 | Sirisha Koneru, M.d, P.C. 43171 Dalcoma Dr Clinton Township MI 48038-6307 Ph: (586) 263-9772 |
| NPI Number | 1760662951 |
|---|---|
| Provider Enumeration Date | 11/06/2007 |
| Last Update Date | 11/06/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760662951 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301079920 (Michigan) | Primary |
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