Organization · Type 2 NPI

S.b.kondragunta LLC

Hematology & Oncology Physician · Petersburg, VA

NPI number 1316020399 Active

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

TaxonomyCodeLicense
Hematology & Oncology Physician Primary 207RH0003X0101223780 (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.