Individual
SRINIVASA R APPAKONDU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
243 ROY CAMPBELL DR STE B, HAZARD, KY 41701-9485
(606) 439-0051
(606) 439-0516
Mailing address
243 ROY CAMPBELL DR STE B, HAZARD, KY 41701-9485
(606) 439-0051
(606) 439-0516
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
36463
KY
207RI0011X
Interventional Cardiology Physician
36463
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64032154
—
KY
Enumeration date
06/06/2006
Last updated
03/18/2019
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