Individual
SIVA KRISHNA PRASAD KONDURU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10330 LEGACY HL, SAN ANTONIO, TX 78240-4480
(772) 240-6270
Mailing address
10330 LEGACY HL, SAN ANTONIO, TX 78240-4480
(772) 240-6270
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
BP10087319
TX
Other
Enumeration date
05/01/2024
Last updated
05/01/2024
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