Kondragunta, Butchaiah

Kondragunta, Butchaiah is an individual health care provider with primary practice located at 34 Medical Park Blvd Ste G Suite # G, Petersburg VA 23805-9283. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Kondragunta, Butchaiah can be contacted via phone (804) 722-3100.

Contact Information

Primary practice address
34 Medical Park Blvd Ste G Suite # G Petersburg VA 23805-9283
Phone: (804) 722-3100
Fax: (804) 722-3120
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 0101223780 Virginia

Profile Details

NPI number 1871567214
LBN Legal business name Kondragunta, Butchaiah
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated May 22nd, 2012 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871567214 NPPES
Virginia MEDICAID 005847141
Virginia Other 337600
Virginia Other 541989200
Virginia MEDICAID 005839777
Virginia Other 1316020399
Virginia Other 258076
Virginia Other 7608086
Virginia Other 26641

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