Individual
DR. KONDRAGANTI P RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
28111 HOOVER, WARREN, MI 48093
(586) 573-0589
(586) 573-3861
Mailing address
50 N DEEPLANDS ROAD, GROSSE POINTE SHORES, MI 48236
(586) 573-0589
(586) 573-3861
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4301032931
MI
207LP2900X
Pain Medicine (Anesthesiology) Physician
4301032931
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2627454
—
MI
Enumeration date
03/14/2006
Last updated
11/02/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us