Individual
SUDARSANAM KONKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 CLINTON STREET, SUITE 20, BROOKLYN, NY 11201
(718) 625-8700
(718) 625-7563
Mailing address
100 CLINTON STREET, SUITE 20, BROOKLYN, NY 11201
(718) 935-9837
(718) 625-7563
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
116915
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00216380
—
NY
Enumeration date
09/11/2006
Last updated
12/29/2022
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