Healthcare Provider Details

I. General information

NPI: 1699721928
Provider Name (Legal Business Name): ASTHMA ALLERGY CENTERS P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2006
Last Update Date: 07/10/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

126 COLLEGE ST SUITE B
BATTLE CREEK MI
49037-3461
US

IV. Provider business mailing address

126 COLLEGE ST SUITE D
BATTLE CREEK MI
49037-3461
US

V. Phone/Fax

Practice location:
  • Phone: 269-968-3030
  • Fax: 269-968-2103
Mailing address:
  • Phone: 269-969-8920
  • Fax: 269-224-4613

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207KA0200X
TaxonomyAllergy Physician
License Number
License Number State

VIII. Authorized Official

Name: SESAGIRI R DANDAMUDI
Title or Position: PRESIDENT
Credential: M.D.
Phone: 269-968-3030