Individual
VENU M KONDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1525 PLUMAS CT, STE C, YUBA CITY, CA 95991-2971
(530) 749-3653
(530) 749-3495
Mailing address
1525 PLUMAS CT, STE C, YUBA CITY, CA 95991-2971
(530) 822-5575
(530) 822-5585
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A73939
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A739390
—
CA
01
—
P00355059
MEDICARE RAILROAD #
—
Enumeration date
08/02/2006
Last updated
04/17/2009
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