S.B.Kondragunta Llc
LBN: S.B.Kondragunta Llc
S.B.Kondragunta Llc is an health care organization with primary practice located at 34-G Medical Park Blvd., Suite - G, Petersburg VA 23805-9283. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as the primary health care specialty.
S.B.Kondragunta Llc can be contacted via phone (804) 722-3100, or through Kondragunta, Butchaiah via phone (804) 722-3100.
Contact Information
Primary practice address
34-G Medical Park Blvd., Suite - G
Petersburg VA 23805-9283
Phone: (804) 722-3100
Fax: (804) 722-3120
Website:
Authorized official contact:
Name: Kondragunta, Butchaiah Doctor of Medicine (MD)
Phone: (804) 722-3100
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 0101223780 | Virginia |
Profile Details
| NPI number | 1316020399 |
|---|---|
| LBN Legal business name | S.B.Kondragunta Llc |
| DBA Doing business as | |
| Authorized official | Kondragunta, Butchaiah Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 23rd, 2006 |
| Last updated | May 24th, 2012 - about 13 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316020399 | NPPES |
| Virginia | Other | 1316020399 | NPI |
| Virginia | Other | 258076 | NPI |
| Virginia | Other | 110214242 | NPI |
| Virginia | MEDICAID | 5839777 | NPI |
| Virginia | Other | P00271749 | NPI |
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