Individual
DR. KIRTHI KONDA LILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4646 JOHN R ST, 11M-GAS, DETROIT, MI 48201-1916
(313) 576-1000
Mailing address
3990 JOHN R ST, DETROIT, MI 48201-2018
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
01097476A
IN
207RG0100X
Gastroenterology Physician
Primary
4301103467
MI
Other
Enumeration date
06/11/2010
Last updated
10/02/2025
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