Individual
MAANASA REDDY KONDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
200 AVENUE F NE, WINTER HAVEN, FL 33881-4131
(810) 964-9342
Mailing address
200 AVENUE F NE, WINTER HAVEN, FL 33881-4131
(810) 964-9342
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
MD2013-0262
NM
Other
Enumeration date
06/30/2010
Last updated
08/26/2020
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