Individual
DR. VENKATA SIVA MANJARI KONDISETTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
320 HOSPITAL DR, MARTINSVILLE, VA 24112-1900
(276) 666-7394
(276) 666-7866
Mailing address
320 HOSPITAL DR, MARTINSVILLE, VA 24112-1900
(276) 666-7394
(276) 666-7866
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101276171
VA
207R00000X
Internal Medicine Physician
2007016899
MO
208M00000X
Hospitalist Physician
2007016899
MO
208M00000X
Hospitalist Physician
44008
KY
Other
Enumeration date
03/15/2010
Last updated
01/22/2024
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