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KISHAN L KELLA MD PC NPI 1053367524


NPI Information

NPI: 1053367524
Provider Name: KISHAN L KELLA MD PC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
625 N MICHIGAN AVE
SAGINAW, MI
ZIP 48602
Phone: (989) 752-6116
Get Directions

KISHAN L KELLA MD PC is a family medicine in Saginaw, MI. The provider is 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. KISHAN L KELLA MD PC NPI is 1053367524. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

625 N MICHIGAN AVE
SAGINAW, MI
ZIP 48602-340
Phone: (989) 752-6116
Fax: (989) 752-0074

The provider's authorized official is Kishan L Kella .
The authorized official title is Owner and has the following contact phone number (989) 752-6116.

The enumeration date for this NPI number is 5/26/2006 and was last updated on 5/27/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineKK046739MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1B45595MEDICARE UPIN
2ON86440MEDICARE ID-TYPE UNSPECIFIED
34600834MEDICAIDMICHIGAN
44723665MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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