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Dr. Sirisha Koneru, MD
Family Medicine Physician in Detroit, Michigan
NPI 1578510343

Sirisha Koneru is a Family Medicine Physician based in Troy, MI. Sirisha Koneru practices in Detroit, MI and has the professional credentials of MD. The NPI Number for Sirisha Koneru is 1578510343 and holds a License No. 4301079920 (Michigan).

The current practice location address for Sirisha Koneru is 4646 John R St, Detroit, MI and can be reached out via phone at 248-894-6393.

Location: 4646 John R St, Detroit, MI, 48098-6545
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578510343
Provider Name
Sirisha Koneru
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
4646 John R St, Detroit, MI, 48098-6545
Phone Number
248-894-6393
Fax Number
Provider Enumeration Date
05/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
104482150 05 MI
104478863 05 MI
SK079920 01 MI BC/BS OF MICHIGAN
institution
Provider Business Practice Location Address Details
Address
4646 John R St
City
Detroit
State
Michigan
Zip
48201-1916
Phone Number
248-894-6393
Fax Number
person
Provider Business Mailing Address Details
Address
4646 John R St
City
Detroit
State
Michigan
Zip
48201-1916
Phone Number
248-894-6393
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
Emergency Medical Services
Taxonomy
207PE0004X
License No.
4301079920 (Michigan)
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
4301079920 (Michigan)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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