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

Shiva Swaroop Bongu, MD

Individual provider Internal Medicine Physician · NPI 1467142851

Shiva Swaroop Bongu, MD is an Internal Medicine Physician in Mount Clemens, Michigan. Licensed in Michigan. Registered with an NPI since 2023.

Licensed in
MI
In the registry since
2023
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1000 Harrington St
Mount Clemens, MI 48043-2920
Phone: (586) 493-3727
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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 4351050725 (MI)

Record details

NPI number1467142851
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 10, 2023
Last updated in NPPESMay 10, 2023
Certification dateMay 10, 2023

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