Individual
SASANK KONDA
Active
Individual
SASANK KONDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
4301114438
MI
207N00000X
Dermatology Physician
Primary
4301504882
MI
207R00000X
Internal Medicine Physician
125.070725
IL
Other
Enumeration date
04/10/2017
Last updated
08/31/2021
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