Individual
DR. VENKATA PRASHANTHI KONDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1615 DELAWARE ST, LONGVIEW, WA 98632-2367
(360) 501-3601
(360) 442-6843
Mailing address
701 W 5TH ST, ODESSA, TX 79763-4206
(432) 335-1777
(432) 335-1815
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
BP10040143
TX
207R00000X
Internal Medicine Physician
Primary
MD60742817
WA
208M00000X
Hospitalist Physician
MD60742817
WA
Other
Enumeration date
07/25/2011
Last updated
04/27/2022
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