Organization · Type 2 NPI
S.b.kondragunta LLC
Hematology & Oncology Physician · Petersburg, VA
Practice location
34-G Medical Park Blvd.,, Suite - G
Petersburg, VA 23805-9283
Fax (804) 722-3120
Mailing address
34 Medical Park Blvd Ste G, Suite - G
Petersburg, VA 23805-9283
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Hematology & Oncology Physician Primary | 207RH0003X | 0101223780 (VA) |
Hematology & Oncology Physician: An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
About NPI 1316020399
S.b.kondragunta LLC's National Provider Identifier is 1316020399, issued on Oct 23, 2006. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Petersburg, VA. The record was last updated on May 24, 2012.