Individual
ANUSHA KONDURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3901, BEAUBIEN BLVD, CHILDRENS HOSPITAL OF MICHIGAN, DETROIT, MI 48201
(315) 928-9107
Mailing address
40 DAVENPORT ST APT 309, DETROIT, MI 48201-2450
(315) 928-9107
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
4351045508
MI
Other
Enumeration date
07/01/2019
Last updated
07/01/2019
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