Most Relevant Information
Provider Data
| NPI Number: | 1003507518 |
| Provider Name: | SAISREE KONDA M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/16/2023 |
| Last Updated: | 09/08/2023 |
Provider Practice Location
121 DEKALB AVE
BROOKLYN
NY
11201
Practice Location Phone/Fax
| Phone: | 7182508000 |
| Fax: |
Provider Mailing Location
121 DEKALB AVE
BROOKLYN
NY
11201
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |