Dr Sirisha Koneru, MD - Family Medicine in Detroit, MI

Dr Sirisha Koneru, MD is a Family Medicine physician based in Detroit, Michigan. Dr Sirisha Koneru is licensed to practice in Michigan (license number 4301079920) and her current practice location is 4646 John R St, Detroit, Michigan. She can be reached at her office (for appointments etc.) via phone at (248) 894-6393.

NPI number for Dr Sirisha Koneru is 1578510343 and her current mailing address is 1762 Wyngate Dr, Troy, Michigan. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1578510343.

Contact Information

Dr Sirisha Koneru, MD
4646 John R St,
Detroit, MI 48201-1916
(248) 894-6393
Not Available

Map and Direction




Physician's Profile

Full NameDr Sirisha Koneru
GenderFemale
SpecialityFamily Medicine
Location4646 John R St, Detroit, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1578510343
  • Provider Enumeration Date: 05/27/2006
  • Last Update Date: 04/05/2021

Medical Identifiers

Medical identifiers for Dr Sirisha Koneru such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578510343NPI-NPPES
104482150MedicaidMI
104478863MedicaidMI
SK079920OtherMIBC/BS OF MICHIGAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207PE0004XEmergency Medicine - Emergency Medical Services 4301079920 (Michigan)Secondary
207Q00000XFamily Medicine 4301079920 (Michigan)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Sirisha Koneru is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Sirisha Koneru, MD
1762 Wyngate Dr,
Troy, MI 48098-6545

Ph: () -
Dr Sirisha Koneru, MD
4646 John R St,
Detroit, MI 48201-1916

Ph: (248) 894-6393

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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