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Contact Information

SUBBAREDDY KONDA, MD
720 W OAK ST STE 360
KISSIMMEE, FL34741-4910
 Phone: 407-846-0900
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for SUBBAREDDY KONDA · (Male)

NPI # 1770519084
Status Active
Credentials MD
Entity Individual
Enumeration date 06/26/2006
Last updated 01/28/2026 - About 4 months ago
Sole proprietor 1 No
Identifiers
  • FL License # ME155275
  • FL License # ME15575
  • LA License # 330718
  • MN License # 46230
  • TX License # P3022
  • MN Medicaid 308654200
  • WI Medicaid 34426100
Hospital affiliation(s)
  • CHRISTUS ST PATRICK HOSPITAL - (Acute Care)
    524 DR MICHAEL DEBAKEY STREET
    LAKE CHARLES, LA 70601
  • CHRISTUS ST PATRICK HOSPITAL - (Acute Care)
    524 DR MICHAEL DEBAKEY STREET
    LAKE CHARLES, LA 70601
  • SCOTT & WHITE HOSPITAL-ROUND ROCK - (Acute Care)
    300 UNIVERSITY BLVD
    ROUND ROCK, TX 78664
  • SCOTT & WHITE HOSPITAL-ROUND ROCK - (Acute Care)
    300 UNIVERSITY BLVD
    ROUND ROCK, TX 78664
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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