SASANK KONDA M.D.
Individual Provider (NPI-1)
Active
Dermatology
Provider Information
- NPI Number
1396278099- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.D.
- Status
- Active
Contact & Location
- Address
- 2799 W GRAND BLVD, DETROIT, MI, 482022608
- Phone
- (800) 653-6568
- Fax
- (313) 876-1305
Specialties & Taxonomies
Dermatology
License: MI #4301114438
Internal Medicine
License: IL #125.070725
Dermatology
Primary License: MI #4301504882