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Organization

ASHOK KONDUR MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ASHOK KUMAR KONDUR MD (MD/OWNER)
(313) 831-1100
Entity
Organization

Contact information

Practice address
4160 JOHN R ST STE 525, DETROIT, MI 48201-2022
(313) 831-1100
(313) 831-1177
Mailing address
4160 JOHN R ST STE 525, DETROIT, MI 48201-2022
(313) 831-1100
(313) 831-1177

Taxonomy

Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
4301077525
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4301077525
MI
Enumeration date
12/03/2014
Last updated
12/03/2014
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