MEDICARE: DR. SRUTHI KONDUR MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	4301086330	MI
2	208VP0014X	Interventional Pain Medicine Physician	4301086330	MI

General Provider Information

NPI Number	:	1023229036
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SRUTHI KONDUR MD

Provider Business Mailing Address
First Line	:	6255 INKSTER RD STE 105
Second Line	:
City	:	GARDEN CITY
State	:	MI
Zip	:	48135-2538
Country	:	US
Telephone Number	:	313-831-4800
Fax Number	:	313-495-7104

Provider Business Practice Location Address
First Line	:	6255 INKSTER RD STE 105
Second Line	:
City	:	GARDEN CITY
State	:	MI
Zip	:	48135-2538
Country	:	US
Telephone Number	:	313-831-4800
Fax Number	:	313-495-7104

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2007
Last Update Date	:	02/03/2019

Similar Medicare Providers

1609721364 — WAYNE COUNTY TREASURER PAYROLL-COUNTY OF WAYNE
Practice Location Address:

6255 INKSTER RD STE 206
GARDEN CITY, MI
48135-2538

Practice Phone: 313-871-1964
Practice Fax:

1942258199 — CHRISTOPHER THOMAS DOIG D.O.
Practice Location Address:

6255 INKSTER RD STE 301
GARDEN CITY, MI
48135-2538

Practice Phone: 248-477-2360
Practice Fax: 248-477-8356

1932143013 — DR. WILLIAM DAVIDSON D.O.
Practice Location Address:

6255 INKSTER RD
GARDEN CITY, MI
48135-2538

Practice Phone: 734-425-7230
Practice Fax: 734-425-7927

1205863867 — RAMESH MADHAVAN
Practice Location Address:

6255 INKSTER RD STE 101
GARDEN CITY, MI
48135-2538

Practice Phone: 248-955-9949
Practice Fax: 248-928-2274

1063559391 — GREAT LAKES ORTHOPAEDICS
Practice Location Address:

6255 INKSTER RD STE 103
GARDEN CITY, MI
48135-2538

Practice Phone: 734-422-8400
Practice Fax: 734-422-8563

1700095411 — DR. ROY TORCUATOR M.D.
Practice Location Address:

6255 INKSTER RD STE 102
GARDEN CITY, MI
48135-2538

Practice Phone: 248-275-1144
Practice Fax: 248-275-1146

Directions to “ DR. SRUTHI KONDUR MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.