KP Anandakrishnan MD PC

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

4301031632 Issued in MI

Legal business name

KP ANANDAKRISHNAN MD PC

Practice address

5189 Venoy Rd
Wayne, MI 48184-2545

Phone

(734) 326-3353

Fax

(734) 326-9130

NPI assigned

Jan 28, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. KP Anandakrishnan, M.D.

Title

President

Phone

(734) 326-3353

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1264636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413849600000",
    "number": "1639400799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5189 VENOY RD",
            "city": "WAYNE",
            "state": "MI",
            "postal_code": "481842545",
            "telephone_number": "734-326-3353",
            "fax_number": "734-326-9130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5189 VENOY RD",
            "city": "WAYNE",
            "state": "MI",
            "postal_code": "481842545",
            "telephone_number": "734-326-3353",
            "fax_number": "734-326-9130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KP ANANDAKRISHNAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-28",
        "last_updated": "2014-10-21",
        "status": "A",
        "authorized_official_last_name": "ANANDAKRISHNAN",
        "authorized_official_first_name": "KP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-326-3353",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MI",
            "license": "4301031632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0829938",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charbel Rony Korab
• Janice Marie Kornacki, MA LLP
• Anastasia A Koromos, BSN RN
• Austin Henry Kovar, MA, TLLP
• Carolyn Kristina Kowalski, MSW, LMSW, QIDP
• Amanda Kraus
• Amanda Krausz
• Kate Krautbauer
• Ravi Bhushan Kukkalli, P.T.
• Neelam B Kumar, MD

• Endocrinology, Diabetes & Metabolism Physician in Wayne, MI
• Providers in Wayne, MI by specialty
• Endocrinology, Diabetes & Metabolism Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.