Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Kavitha Ponduri, MD

Individual provider Internal Medicine Physician · NPI 1679568315

Dr. Kavitha Ponduri, MD is an Internal Medicine in Wayne, Michigan. Qualified in 1993, 33 years ago. Practices with Kavitha Ponduri MD PC, a 2-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
33
Licensed in
MI
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

34659 W Michigan Ave
Wayne, MI 48184-1730
Phone: (734) 722-2400
Fax: (734) 722-1709
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 4301063347 (MI)

Record details

NPI number1679568315
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedSeptember 20, 2005
Last updated in NPPESDecember 25, 2017
Mailing address34659 W Michigan Ave, Wayne, MI 48184-1730

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Kavitha Ponduri Md Pc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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