Individual
DR. KRISHNA KONAKONDLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
315 ROUTE 70 E STE A, CHERRY HILL, NJ 08034-2408
(856) 375-6240
(856) 375-6241
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 355-0340
(856) 355-0330
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
25MA10196700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0733661
—
NJ
Enumeration date
05/02/2014
Last updated
10/01/2024
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