Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SASANK KONDA, M.D.
ActiveSASANK KONDA, M.D. is a Dermatology healthcare provider located in DETROIT, Michigan. NPI 1396278099 is currently active in the NPPES registry. Verify at CMS.
Dermatology · DETROIT, MI
Registration Details
- NPI Number
- 1396278099
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 10, 2017 (9.3763543037029 yrs)
- Last Updated
- Aug 31, 2021
- Licenses
-
4301114438 (MI)125.070725 (IL)4301504882 (MI)
Practice Information
- Address
-
2799 W GRAND BLVDDETROIT, MI, 482022608Browse MI providers · Browse ZIP 48202
- Phone
- 8006536568
- Fax
- 3138761305
- Primary Specialty
-
Dermatology
207N00000X
- Additional Specialty
- Internal Medicine
- Additional Specialty
- Dermatology
Other Dermatology Providers in DETROIT, MI
| Name | Credential | NPI |
|---|---|---|
| RAECHELE C. GATHERS | M.D. | 1285693804 |
| KAREN ANN HEIDELBERG | M.D. | 1467406439 |
| S JEAN KEGLER | MD | 1669419750 |
| DR. TINA PICKETT BAISDEN | MD | 1396753810 |
| JAMES A BROWN | MD | 1083711725 |
| DR. HOLLY ANITA KERR | M.D. | 1376751784 |
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.