Provider Profile

Shivani V. Kondagunta, PA-C

Unclaimed Profile

About Shivani Kondagunta

Shivani V. Kondagunta, PA-C is a physician assistant based in Detroit, MI. Shivani is a 2025 graduate of Wayne State University School of Medicine.

Summarised automatically from public NPI registry and CMS Medicare data. Not written or reviewed by this provider. Claim this profile to replace it — free, and no identity document with a practice or institutional email.

Specialty

Physician Assistant (Primary)

Credentials & Licensing

MI license5601013554
NPI1306735311
NPI issued07/02/2025

License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.

Medicare information

Accepts Medicare assignmentYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What is Shivani V. Kondagunta's specialty?

Shivani V. Kondagunta is a physician assistant in Detroit, MI. That is the designation recorded for this NPI in the federal registry.

NPI registry

Where can I find Shivani V. Kondagunta?

Shivani V. Kondagunta is listed at 259 Mack Ave, Detroit, MI 48201. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How do I contact Shivani V. Kondagunta?

The number on file is (313) 577-1716. Guide.md cannot book appointments or pass on messages — please call the office directly.

NPI registry

What is the NPI for Shivani V. Kondagunta?

Shivani V. Kondagunta's National Provider Identifier is 1306735311. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

What is Shivani V. Kondagunta's education?

Shivani V. Kondagunta attended Wayne State University School of Medicine, graduating in 2025. This comes from the CMS National Downloadable File.

CMS public data

How much experience does Shivani V. Kondagunta have?

Shivani V. Kondagunta has 1 year experience. Calculated from a graduation year of 2025, reported in the CMS National Downloadable File.

CMS public data

Is Shivani V. Kondagunta's profile verified?

Not yet. This profile is built from public federal data and has not been confirmed by Shivani V. Kondagunta. If this is you, claiming it is free.

Guide.md

Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.