Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LISA TANYARADZWA GONDO, M.D.
DeactivatedLISA TANYARADZWA GONDO, M.D. is a Student (Health Education/Training) healthcare provider located in DETROIT, Michigan. NPI 1194568915 is deactivated in the NPPES registry. Verify at CMS.
Student (Health Education/Training) · DETROIT, MI
This NPI has been deactivated.
The record was deactivated on January 31, 2025.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1194568915
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 18, 2024 (0.62191780821918 yrs)
- Last Updated
- Feb 3, 2025
- Deactivated
- Jan 31, 2025
Practice Information
- Address
-
3901 CHRYSLER DRIVESUITE 3BDETROIT, MI, 48201Browse MI providers · Browse ZIP 48201
- Phone
- 3135777523
- Primary Specialty
-
Student (Health Education/Training)
390200000X
Other Student (Health Education/Training) Providers in DETROIT, MI
| Name | Credential | NPI |
|---|---|---|
| MS. KIMBERLY E. DORNAN | MACOM, LAC | 1275587917 |
| DR. RAMI BOUTROS IBRAHIM | PHARMD, DO | 1477651289 |
| LESLIE DANLEY | M.D. | 1881746980 |
| SOOK JA RHIM | M.D. | 1427189240 |
| DR. NISCHAL KUMAR PATNAIK GANDRETI | M.D. | 1073739132 |
| MS. VIET HUONG VU | D.O. | 1518162510 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.