Individual
CHAITANYA KONDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5303 HARRY HINES BLVD, DALLAS, TX 75390-2153
(214) 645-2080
Mailing address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7201
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
S2377
TX
2081P0010X
Pediatric Rehabilitation Medicine Physician
S2377
TX
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
S2377
TX
Other
Enumeration date
03/25/2015
Last updated
02/23/2023
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