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

Dr. Sasi B Boppana, MD

Individual provider Internal Medicine Physician · NPI 1528053196

Dr. Sasi B Boppana, MD is an Internal Medicine in Wayne, Michigan. Qualified in 1995, 31 years ago. Practices with Kavitha Ponduri MD PC, a 2-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
31
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
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 4301073741 (MI)

Record details

NPI number1528053196
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 20, 2005
Last updated in NPPESDecember 25, 2017

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1995 (31 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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