Organization
MICHIGAN PSYCIATRIC & BEHAVIORAL ASSOCIATES
Active
Other names
MPBA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KISHORE BABU KONDAPANENI D.O. (DOCTOR)
(989) 922-4900
Entity
Organization
Contact information
Practice address
690 S TRUMBULL ST, BAY CITY, MI 48708-7656
(989) 922-4900
(989) 922-4911
Mailing address
690 S TRUMBULL ST, BAY CITY, MI 48708-7656
(989) 922-4900
(989) 922-4911
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
09/05/2006
Last updated
04/20/2008
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