Individual
KAUSHIKA KONDRAGUNTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
101 SIVLEY RD SW, HUNTSVILLE, AL 35801-4421
(256) 265-3880
(256) 265-3886
Mailing address
PO BOX 21007, HUNTSVILLE, AL 35813-5007
(256) 265-3880
(256) 265-3886
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD.47188
AL
208M00000X
Hospitalist Physician
Primary
MD.47188
AL
Other
Enumeration date
07/20/2020
Last updated
08/07/2024
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