Provider Demographics
NPI:1699721928
Name:ASTHMA ALLERGY CENTERS P.C.
Entity type:Organization
Organization Name:ASTHMA ALLERGY CENTERS P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SESAGIRI
Authorized Official - Middle Name:R
Authorized Official - Last Name:DANDAMUDI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:269-968-3030
Mailing Address - Street 1:126 COLLEGE ST
Mailing Address - Street 2:SUITE D
Mailing Address - City:BATTLE CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:49037-3461
Mailing Address - Country:US
Mailing Address - Phone:269-969-8920
Mailing Address - Fax:269-224-4613
Practice Address - Street 1:126 COLLEGE ST
Practice Address - Street 2:SUITE B
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49037-3461
Practice Address - Country:US
Practice Address - Phone:269-968-3030
Practice Address - Fax:269-968-2103
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-26
Last Update Date:2015-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergyGroup - Single Specialty