Kondragunta, Sakuntla
Kondragunta, Sakuntla is an individual health care provider with primary practice located at 200 Medical Park Blvd , Petersburg VA 23805-9274. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Kondragunta, Sakuntla can be contacted via phone (804) 765-5991.Contact Information
Primary practice address
200 Medical Park Blvd
Petersburg VA 23805-9274
Phone: (804) 765-5991
Fax: (804) 765-5809
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 0101222345 | Virginia |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 0101222345 | Virginia |
Profile Details
| NPI number | 1184695843 |
|---|---|
| LBN Legal business name | Kondragunta, Sakuntla |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 31st, 2006 |
| Last updated | Jul 31st, 2009 - about 15 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 | 1184695843 | NPPES |
| Virginia | Other | 1184695843 | ANTHEM BCBS |
| Virginia | MEDICAID | 010107318 | ANTHEM BCBS |
| Virginia | MEDICAID | 1184695843 | ANTHEM BCBS |
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