Individual
SAILESH KONDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17222 HOSPITAL BLVD STE 346, BROOKSVILLE, FL 34601-8925
(352) 796-3334
(352) 796-3323
Mailing address
17222 HOSPITAL BLVD STE 346, BROOKSVILLE, FL 34601-8925
(352) 796-3334
(352) 796-3323
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
ME125090
FL
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
ME125090
FL
207NS0135X
Procedural Dermatology Physician
ME125090
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015594200
—
FL
Enumeration date
05/29/2009
Last updated
12/17/2025
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