# ASHOK V. KONDRU, MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114114790
- **Authorized official:** ASHOK V KONDRU MD (OWNER)
- **Authorized official phone:** (440) 998-0322

## Contact information

- **Practice address:** 2112 LAKE AVE, ASHTABULA, OH 44004-3436
- **Practice address phone:** (440) 998-0322
- **Practice address fax:** (440) 998-4525
- **Mailing address:** 2112 LAKE AVE, ASHTABULA, OH 44004-3436
- **Mailing address phone:** (440) 998-0322
- **Mailing address fax:** (440) 998-4525

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | OH35063118 | OH | Yes |

## Other

- **Enumeration date:** 09/27/2007
- **Last updated:** 10/29/2007