Individual
ANISH S KONDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4525 3RD AVE SE STE 200, LACEY, WA 98503-1010
(360) 754-3934
(360) 943-8023
Mailing address
4525 3RD AVE SE STE 200, LACEY, WA 98503-1010
(360) 754-3934
(360) 943-8023
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD61187142
WA
207RH0003X
Hematology & Oncology Physician
Primary
MD61187142
WA
Other
Enumeration date
04/11/2015
Last updated
10/25/2021
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