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Individual

RAJANI K KONDABALA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
218 9TH STREET DR W, PALMETTO, FL 34221-4802
(941) 721-3900
Mailing address
218 9TH STREET DR W, PALMETTO, FL 34221-4802
(941) 721-3900

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
237192
NY
208000000X
Pediatrics Physician
Primary
ME94547
FL

Other

Enumeration date
01/17/2006
Last updated
09/26/2011
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