DR. BUTCHAIAH KONDRAGUNTA M.D. NPI 1871567214

NPI Information

NPI: 1871567214
Provider Name: DR. BUTCHAIAH KONDRAGUNTA, M.D.
Classification: Internal Medicine - 207RH0003X
Entity Type: Individual

Specialization: Hematology & Oncology

Address:
34 MEDICAL PARK BLVD STE G
SUITE # G
PETERSBURG, VA
ZIP 23805
Phone: (804) 722-3100
Get Directions

DR. Butchaiah Kondragunta, M.D. is a hematology and oncology internal medicine in Petersburg, VA. The provider is 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. DR. Butchaiah Kondragunta, M.D. NPI is 1871567214. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

34 MEDICAL PARK BLVD STE G
SUITE # G
PETERSBURG, VA
ZIP 23805-283
Phone: (804) 722-3100
Fax: (804) 722-3120

The enumeration date for this NPI number is 2/14/2006 and was last updated on 5/22/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RH0003X	Internal Medicine	Hematology & Oncology	0101223780	VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	541989200	OTHER	VIRGINIA	MAILHANDLERS
2	337600	OTHER	VIRGINIA	BCBS
3	26641	OTHER	VIRGINIA	CIGNA
4	G44642	MEDICARE UPIN	VIRGINIA
5	005839777	MEDICAID	VIRGINIA
6	1316020399	OTHER	VIRGINIA	HEMATOLOGY/ONCOLOGY
7	110007731	MEDICARE ID-TYPE UNSPECIFIED	VIRGINIA
8	258076	OTHER	VIRGINIA	BCBS
9	7608086	OTHER	VIRGINIA	AETNA
10	005847141	MEDICAID	VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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