Search › Michigan › 363A00000X
Shivani Kondagunta, PA-C
NPI 1306735311 · on the registry since 2025
Practice
- Address
- 259 Mack Ave
Detroit, MI 48201 - Phone
- (313) 577-1716
- Clinicians at this address
- 93
Additional practice sites
- 5300 Elliott Dr, Ypsilanti, MI
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-02-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan