Individual
MR. KISHORE B KONDAPANENI
Active
Individual
MR. KISHORE B KONDAPANENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301058857
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2602960690
HEALTH PLUS
—
01
—
260Z910350
BCBS
MI
05
—
4318064
—
MI
01
—
5972098
AETNA
—
01
—
90196
BCBS
MI
01
—
N34080004
MEDICARE
MI
Enumeration date
08/02/2006
Last updated
02/15/2013
Update your record
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