Individual
DR. SANJAY KONAKONDLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-9800
(570) 271-6437
(570) 271-6663
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
2012015810
MO
207T00000X
Neurological Surgery Physician
MD16092
RI
207T00000X
Neurological Surgery Physician
Primary
MD467792
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2012015810
MISSOURI LICENSE
MO
Enumeration date
05/30/2012
Last updated
08/31/2020
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