Individual
DR. SRUTHI KONDUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6255 INKSTER RD STE 105, GARDEN CITY, MI 48135-2538
(313) 831-4800
(313) 495-7104
Mailing address
6255 INKSTER RD STE 105, GARDEN CITY, MI 48135-2538
(313) 831-4800
(313) 495-7104
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
4301086330
MI
208VP0014X
Interventional Pain Medicine Physician
Primary
4301086330
MI
Other
Enumeration date
05/24/2007
Last updated
02/03/2019
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