S.B.KONDRAGUNTA LLC
NPI 1316020399
Internal Medicine - Hematology & Oncology in Petersburg, VA

Active since October 23, 2006
34-G MEDICAL PARK BLVD.,, SUITE - G, PETERSBURG, VA 23805(804) 722-3100(804) 722-3120 Get Directions Write a Review

NPPES record last updated: May 24, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About S.b.kondragunta Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

S.B.KONDRAGUNTA LLC (NPI 1316020399) is a healthcare organization registered as a hematology & oncology in Petersburg, Virginia and active in the NPI registry since October 2006. The organization lists Butchaiah Kondragunta, Owner, as its authorized official.

NPPES Registry Identity

NPI1316020399
Entity TypeOrganization
Primary Taxonomy207RH0003X
Legal Business NameS.B.KONDRAGUNTA LLC
Location Address34-G MEDICAL PARK BLVD.,, SUITE - GPetersburg, VA 23805-9283
Mailing Address34 Medical Park Blvd Ste G, Suite - GPetersburg, VA 23805-9283 · (804) 722-3100 · Fax (804) 722-3120
Fax(804) 722-3120
Organization SubpartNo
Authorized OfficialButchaiah KondraguntaOwner · (804) 722-3100
Enumeration DateOctober 23, 2006
Last NPPES UpdateMay 24, 2012
NPI 1316020399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in VA · 0101223780
Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

34-G MEDICAL PARK BLVD.,, Petersburg, VA 23805

Other Identifiers 7

Other1316020399VA · Npi
Medicaid5839777VA
Other258076VA · Bcbs
Medicare UPING44642VA
OtherP00271749VA · Rail Road
Medicare ID-Type Unspecified110007731VA
Other110214242VA · Rail Road

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is S.B.Kondragunta LLC's NPI number?

The NPI number for S.B.Kondragunta LLC is 1316020399. It was assigned to this organization in the NPPES registry on October 23, 2006.

Where is S.B.Kondragunta LLC located?

S.B.Kondragunta LLC is located at 34-G Medical Park Blvd., Suite - G, Petersburg, VA 23805. The listed phone number is (804) 722-3100.

What is S.B.Kondragunta LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

When was this NPI record last updated?

The NPPES record for S.B.Kondragunta LLC was last updated on May 24, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.