Individual
DR. SREEKANTH REDDY KONDAREDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4417 VESTAL PKWY E, VESTAL, NY 13850-3556
(607) 729-8833
Mailing address
33 LEWIS ST, 2ND FLOOR, BINGHAMTON, NY 13905
(607) 729-8156
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
282746
NY
207R00000X
Internal Medicine Physician
MT196348
PA
207RC0000X
Cardiovascular Disease Physician
Primary
282746
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04501915
—
NY
Enumeration date
07/28/2010
Last updated
04/25/2017
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