KAMALA TALESE BELLAMKONDA

BEAUMONT MEDICAL GROUP HOSPITAL BASED SERVICES

Dr KAMALA TALESE BELLAMKONDA is a female medical professional, specializing in Physician Assistant. She graduated in 2001.

Contact

BEAUMONT MEDICAL GROUP HOSPITAL BASED SERVICES

3601 W 13 MILE RD
ROYAL OAK
MI
480736712

Tel:

KAMALA TALESE BELLAMKONDA Information

Npi 1295280402
Pac Id 0749575132
Professional Enrollment Id I20160824001751
Last Name BELLAMKONDA
First Name KAMALA
Middle Name TALESE
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2001
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name BEAUMONT MEDICAL GROUP HOSPITAL BASED SERVICES
Group Practice Pac Id 3072875889
Number Of Group Practice Members 600
Line 1 Street Address 3601 W 13 MILE RD
Line 2 Street Address
Marker Of Address Line 2 Suppression Y
City ROYAL OAK
State MI
Zip Code 480736712
Phone Number
Hospital Affiliation Ccn 1 230130
Hospital Affiliation Lbn 1 BEAUMONT HOSPITAL, ROYAL OAK
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
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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