Individual
DIVYA SAMANTHA KONDAPI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.B.B.S
Contact information
Practice address
2 TAMPA GENERAL CIR, TAMPA, FL 33606-3571
(813) 821-8038
(813) 974-4325
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
(813) 821-8038
(813) 974-4325
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
01095119A
IN
207RI0200X
Infectious Disease Physician
Primary
ME157943
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115417600
—
FL
01
—
QBQQ3
BLUE CROSS BLUE SHIELD
FL
Enumeration date
04/19/2016
Last updated
11/03/2024
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