Individual
DR. KAVITHA PONDURI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
34659 W MICHIGAN AVE, WAYNE, MI 48184-1730
(734) 722-2400
(734) 722-1709
Mailing address
34659 W MICHIGAN AVE, WAYNE, MI 48184-1730
(734) 722-2400
(734) 722-1709
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301063347
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3437472
—
MI
Enumeration date
09/20/2005
Last updated
12/25/2017
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