Dr KONDA B C MOULI is a male medical professional, specializing in Urology. He graduated in 1973.
PROMEDICA CENTRAL CORPORATION OF MICHIGAN
777 KIMOLE LN
SUITE 220
ADRIAN
MI
492211400
Tel: 5172636464
| Npi | 1124087143 |
| Pac Id | 9537231725 |
| Professional Enrollment Id | I20080703000139 |
| Last Name | MOULI |
| First Name | KONDA |
| Middle Name | B C |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 1973 |
| Primary Specialty | UROLOGY |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | PROMEDICA CENTRAL CORPORATION OF MICHIGAN |
| Group Practice Pac Id | 7012902265 |
| Number Of Group Practice Members | 49 |
| Line 1 Street Address | 777 KIMOLE LN |
| Line 2 Street Address | SUITE 220 |
| Marker Of Address Line 2 Suppression | |
| City | ADRIAN |
| State | MI |
| Zip Code | 492211400 |
| Phone Number | 5172636464 |
| Hospital Affiliation Ccn 1 | 230005 |
| Hospital Affiliation Lbn 1 | EMMA L BIXBY MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 231334 |
| Hospital Affiliation Lbn 2 | PROMEDICA HERRICK HOSPITAL |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| 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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