KONDA BC MOULI MD PC NPI 1376721035

NPI Information

  • NPI: 1376721035
  • Provider Name: KONDA BC MOULI, MD PC
  • Classification: Urology - 208800000X
  • Entity Type: Organization
  • Address: 777 KIMOLE LN
    SUITE 260
    ADRIAN, MI
    ZIP 49221
  • Phone: (517) 265-4770

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NPI Details

KONDA BC MOULI, MD PC is an urology in Adrian, MI. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. KONDA BC MOULI, MD PC NPI is 1376721035. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

777 KIMOLE LN
SUITE 260
ADRIAN, MI
ZIP 49221-478
Phone: (517) 265-4770

The provider's authorized official is Julie Holdridge .
The authorized official title is Billing Specialist and has the following contact phone number (517) 265-0229.

The enumeration date for this NPI number is 2/5/2008 and was last updated on 11/25/2008.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208800000XUrologyYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1340D610140OTHERMICHIGANBCBSM
20P58730MEDICARE PINMICHIGAN

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: 11/21/2025

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