CHAKRAVARTHY KANDURU (NPI# 1083773329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083773329 |
| Entity Type | Individual |
| Full Name | CHAKRAVARTHY KANDURU |
| Credential | M.D. |
| Practice Address |
Henry Ford Health System 2825 Livernois Troy MI 48083 |
| Practice Telephone | 2485282310 |
| Practice Fax Number | 2485288112 |
| Mailing Telephone | 2485282310 |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2012-08-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 071718 | MI | Allopathic & Osteopathic Physicians |
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
071718 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE CROSS-BLUE CROSS | 100H264400 | 01 | |
| MI | 426710710 | 05 | |
| COMMERCIAL-COMMERCIAL NUMBER | CK071718 | 01 | |
| CHAMPUS-CHAMPUS | CK071718 | 01 |
| Street Address |
HENRY FORD HEALTH SYSTEM 2825 LIVERNOIS |
| City | TROY |
| State | MI |
| Zip Code | 48083 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265591507 | Shehla Jaffery-khalil | Internal Medicine | Henry Ford Health System, 2825 Livernois, Troy, MI 48083 | 2006-12-06 |
| 1124196936 | Brenda M. Andritsis | Family Medicine | Henry Ford Health System, 2825 Livernois, Troy, MI 48083 | 2006-12-01 |
| 1992872360 | Albert L. Capili | Obstetrics & Gynecology | Henry Ford Health System, 2825 Livernois, Troy, MI 48083 | 2006-11-29 |
| 1750456497 | Shana S. Krstevska | Psychiatry & Neurology | Henry Ford Health System, 2825 Livernois, Troy, MI 48083 | 2006-11-21 |
| 1942374467 | Michael G. Workings | Family Medicine | Henry Ford Health System, 2825 Livernois, Troy, MI 48083 | 2006-11-17 |
| 1447324959 | Marla R. Rowe Gorosh | Family Medicine | Henry Ford Health System, 2825 Livernois, Troy, MI 48083 | 2006-11-17 |
| 1225102734 | Earlexia M. Norwood | Family Medicine | Henry Ford Health System, 2825 Livernois, Troy, MI 48083 | 2006-11-17 |
| 1033283544 | Herminio L. Perez | Family Medicine | Henry Ford Health System, 2825 Livernois, Troy, MI 48083 | 2006-11-17 |
| 1447338314 | Teresa L. Romano | Dermatology | Henry Ford Health System, 2825 Livernois, Troy, MI 48083 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417420449 | Thapasvi Muttirevula | Physical Therapist | 2422 Cedar Knoll Dr, Troy, MI 48083 | 2019-01-02 |
| 1114418290 | Ann Katchke | Physical Therapist | 3179 Livernois Rd, Troy, MI 48083 | 2018-05-23 |
| 1518485945 | Risa Rae Mendelson | Counselor | 1059 Owendale Street, Troy, MI 48083 | 2017-09-06 |
| 1497277115 | Gassan Asadi | Pharmacist | 215 E Big Beaver Rd Ste 500, Troy, MI 48083 | 2017-07-14 |
| 1528510328 | Dylan Skye Polasko | Behavioral Analyst | 2221 E 4th St, #101, Troy, MI 48083 | 2016-10-27 |
| 1235683061 | Sadia Ghazi | Technician, Other | 3178 Daley Dr., Troy, MI 48083 | 2016-08-10 |
| 1548664345 | Amber Leigh Ernst | Social Worker | 1225 E. Big Beaver Road, Troy, MI 48083 | 2014-10-22 |
| 1356782411 | Michelle Louise Knoblock | Nurse Anesthetist, Certified Registered | 1560 E Maple Rd Ste 100, Troy, MI 48083 | 2013-07-17 |
| 1437400728 | Oakland Physicians Surgery Center | Clinic/Center | 1560 E. Maple Road, Suite 100, Troy, MI 48083 | 2012-09-26 |
| 1861748238 | Pro Med Substance Abuse Program LLC | Psychologist | 2891 E. Maple Rd. Suite 200, Troy, MI 48083 | 2012-08-03 |
| Find all providers in zip 48083 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366609281 | G K Kumar Md PC | Internal Medicine | 1615 W Big Beaver Rd Bldg A, Troy, MI 48084-3539 | 2008-05-19 |
| 1508936493 | Khalid R Bhatti | Internal Medicine | 1444 Massachusetts Avenue, Troy, NY 12180 | 2006-11-08 |
| 1801873146 | Ganapathy K Kumar | Internal Medicine | 1615 W Big Weaver Rd, Ste A1, Troy, MI 48084 | 2005-12-28 |
| 1770572356 | Atulkumar S Patel | Internal Medicine | 264 W Maple Rd, #200, Troy, MI 48084-5435 | 2005-10-17 |
| 1427059013 | Fayez Dimitri Abboud | Internal Medicine | 3130 N County Rd 25a, Suite 109, Troy, OH 45373-1337 | 2005-08-03 |
| 1942674155 | Gastrointestinal and Liver Disease Specialists PC | Internal Medicine | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2015-11-25 |
| 1346644697 | Specialty Medicine Care, LLC | Internal Medicine | 41 S Stanfield Rd, Troy, OH 45373-2371 | 2014-10-15 |
| 1306179957 | Asma Arif Md PC | Internal Medicine | 2231 Burdett Ave, Suite 280, Troy, NY 12180-2480 | 2009-09-15 |
| 1154482248 | Sarala Ravikant Md PC | Internal Medicine | 38815 Dequindre Rd, Ste 100, Troy, MI 48083 | 2006-12-12 |
| 1780750125 | Gastrointestinal Specialists PC | Internal Medicine | 264 W Maple Rd, #200, Troy, MI 48084 | 2006-11-28 |
| Find all providers in TROY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.