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S.b.kondragunta Llc
Hematology & Oncology Physician in Petersburg, Virginia
NPI 1316020399

S.b.kondragunta Llc is a Hematology & Oncology Physician based in Petersburg, VA and is specialized in Hematology & Oncology. S.b.kondragunta Llc practices in Petersburg, VA. The NPI Number for S.b.kondragunta Llc is 1316020399 and holds a License No. 0101223780 (Virginia).

The current practice location address for S.b.kondragunta Llc is 34-G Medical Park Blvd.,, Petersburg, VA and can be reached out via phone at 804-722-3100 and via fax at 804-722-3120.

Location: 34-G Medical Park Blvd.,, Petersburg, VA, 23805-9283
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1316020399
Provider Name
S.b.kondragunta Llc
Credential
Provider Entity Type
Organization
Address
34-G Medical Park Blvd.,, Petersburg, VA, 23805-9283
Phone Number
804-722-3100
Fax Number
804-722-3120
Provider Enumeration Date
10/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1316020399 01 VA NPI
258076 01 VA BCBS
110214242 01 VA RAIL ROAD
5839777 05 VA
P00271749 01 VA RAIL ROAD
institution
Provider Business Practice Location Address Details
Address
34-G Medical Park Blvd.,
City
Petersburg
State
Virginia
Zip
23805-9283
Phone Number
804-722-3100
Fax Number
804-722-3120
person
Provider Business Mailing Address Details
Address
34-G Medical Park Blvd.,
City
Petersburg
State
Virginia
Zip
23805-9283
Phone Number
804-722-3100
Fax Number
804-722-3120
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
0101223780 (Virginia)
Definition
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.
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