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Dr. Butchaiah Kondragunta, MD
Hematology & Oncology Physician in Petersburg, Virginia
NPI 1871567214

Butchaiah Kondragunta is a Hematology & Oncology Physician based in Petersburg, VA and is specialized in Hematology & Oncology. Butchaiah Kondragunta practices in Petersburg, VA and has the professional credentials of MD. The NPI Number for Butchaiah Kondragunta is 1871567214 and holds a License No. 0101223780 (Virginia).

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

Location: 34 Medical Park Blvd Ste G, Petersburg, VA, 23805-9283
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871567214
Provider Name
Butchaiah Kondragunta
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
34 Medical Park Blvd Ste G, Petersburg, VA, 23805-9283
Phone Number
804-722-3100
Fax Number
804-722-3120
Provider Enumeration Date
02/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
005847141 05 VA
337600 01 VA BCBS
541989200 01 VA MAILHANDLERS
005839777 05 VA
1316020399 01 VA HEMATOLOGY/ONCOLOGY
258076 01 VA BCBS
7608086 01 VA AETNA
26641 01 VA CIGNA
institution
Provider Business Practice Location Address Details
Address
34 Medical Park Blvd Ste G
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 Medical Park Blvd Ste G
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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