NARENDER R THATIKONDA

MEMORIAL HOSPITAL

Dr NARENDER R THATIKONDA is a male medical professional, specializing in Internal Medicine. He graduated in 1996.

Contact

MEMORIAL HOSPITAL

9900 W M 21
101 OVID ELSIE PRIMARY CARE
OVID
MI
488669798

Tel: 9898342243

NARENDER R THATIKONDA Information

Npi 1023215886
Pac Id 0042301087
Professional Enrollment Id I20140911001231
Last Name THATIKONDA
First Name NARENDER
Middle Name R
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 1996
Primary Specialty INTERNAL MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name MEMORIAL HOSPITAL
Group Practice Pac Id 8527976497
Number Of Group Practice Members 91
Line 1 Street Address 9900 W M 21
Line 2 Street Address 101 OVID ELSIE PRIMARY CARE
Marker Of Address Line 2 Suppression
City OVID
State MI
Zip Code 488669798
Phone Number 9898342243
Hospital Affiliation Ccn 1 230121
Hospital Affiliation Lbn 1 MEMORIAL HEALTHCARE
Hospital Affiliation Ccn 2 231326
Hospital Affiliation Lbn 2 SPARROW CLINTON HOSPITAL
Hospital Affiliation Ccn 3 230230
Hospital Affiliation Lbn 3 EDWARD W SPARROW HOSPITAL
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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