Doctor profile · Federal record
Dr. Sirisha Koneru, M.D.
Family Medicine Physician · Emergency Medical Services (Emergency Medicine) Physician · Detroit, MI
- NPI 1578510343
- 20 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
4646 John R St
Detroit, MI 482011916
(248) 894-6393 - Additional location
-
1762 Wyngate Dr
Troy, MI 480986545
(248) 888-8410 - Mailing address
-
1762 Wyngate Dr
Troy, MI 480986545
Credentials & registration
- NPI registered
- May 2006 — 20 yrs on file
- Profile last updated
- April 5, 2021
- Specialty taxonomy
- 207Q00000X — NUCC code
- State license (1)
- Michigan #4301079920
- Medicaid (2)
- MI #104482150 · MI #104478863
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1578510343. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$58
Transactions
4
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| E.R. Squibb & Sons, L.L.C. | 3 | $42.84 | |
| ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) | 1 | $14.85 |
By nature of payment
Frequently asked questions
What is Dr. Sirisha Koneru's medical specialty?
Dr. Sirisha Koneru practices Family Medicine Physician in Detroit, MI.
Where does Dr. Sirisha Koneru practice?
Dr. Sirisha Koneru practices at 4646 John R St, Detroit, MI 482011916. Office phone: 2488946393.
What is Dr. Sirisha Koneru's NPI?
Dr. Sirisha Koneru's National Provider Identifier (NPI) is 1578510343, issued by NPPES.