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Contact Information

BUTCHAIAH KONDRAGUNTA, MD
34 MEDICAL PARK BLVD STE G
SUITE # G
PETERSBURG, VA23805-9283
 Phone: 804-722-3100
 Fax: 804-722-3120
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for BUTCHAIAH KONDRAGUNTA · (Male)

NPI Number 1871567214
Status Active
Credentials MD
Entity Individual
Enumeration date 02/14/2006
Last updated 05/22/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • VA License # 0101223780
  • VA Medicaid 005839777
  • VA Medicaid 005847141
  • VA Other 7608086 AETNA
  • VA Other 258076 BCBS
  • VA Other 337600 BCBS
  • VA Other 26641 CIGNA
  • VA Other 1316020399 HEMATOLOGY/ONCOLOGY
  • VA Other 541989200 MAILHANDLERS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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