Kondagunta, Gnanamba V
Kondagunta, Gnanamba V is an individual health care provider with primary practice located at 155 Crystal Run Rd , Middletown NY 10941-4028. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Kondagunta, Gnanamba V can be contacted via phone (845) 703-6999.Contact Information
Primary practice address
155 Crystal Run Rd
Middletown NY 10941-4028
Phone: (845) 703-6999
Fax: (845) 703-6297
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 215626 | New York |
Profile Details
| NPI number | 1265403208 |
|---|---|
| LBN Legal business name | Kondagunta, Gnanamba V |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 29th, 2006 |
| Last updated | Oct 7th, 2020 - about 4 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 | 1265403208 | NPPES |
| New York | MEDICAID | 03067865 |
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