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Individual

DR. SUBBAREDDY KONDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
720 W OAK ST STE 360, KISSIMMEE, FL 34741-4910
(407) 846-0900
Mailing address
720 W OAK ST STE 360, KISSIMMEE, FL 34741-4910
(407) 846-0900

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
330718
LA
208600000X
Surgery Physician
46230
MN
208600000X
Surgery Physician
ME15575
FL
208600000X
Surgery Physician
P3022
TX
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
330718
LA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
46230
MN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
ME155275
FL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
ME15575
FL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
P3022
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
308654200
MN
05
34426100
WI
Enumeration date
06/26/2006
Last updated
01/28/2026
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