Individual
SIRISH KUMAR KONDABOLU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
912 RUSSELL DR, LEBANON, PA 17042
(717) 272-7971
(717) 272-1241
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 851-1405
(717) 851-6969
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
275452
NY
207X00000X
Orthopaedic Surgery Physician
Primary
MD465257
PA
Other
Enumeration date
04/11/2012
Last updated
01/18/2019
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