Konda, Subbareddy
Konda, Subbareddy is an individual health care provider with primary practice located at 3310 Waterman Way , Tavares FL 32778-5250. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Konda, Subbareddy can be contacted via phone (352) 343-1216.Contact Information
Primary practice address
3310 Waterman Way
Tavares FL 32778-5250
Phone: (352) 343-1216
Fax: (352) 343-1582
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 330718 | Louisiana |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 46230 | Minnesota |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | P3022 | Texas |
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | P3022 | Texas |
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 330718 | Louisiana |
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 46230 | Minnesota |
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | ME155275 | Florida |
Profile Details
| NPI number | 1770519084 |
|---|---|
| LBN Legal business name | Konda, Subbareddy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 26th, 2006 |
| Last updated | Sep 28th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770519084 | NPPES |
| Wisconsin | MEDICAID | 34426100 | |
| Wisconsin | MEDICAID | 308654200 |
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