Siva Rama Krishna Kondapalli

NPI #1194298901 in Lake Mary, Florida

Provider Information

NPI Number: 1194298901
Entity Type: Individual
Name: Siva Rama Krishna Kondapalli
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Jan 3, 2019
Last Updated: Jan 3, 2019

Practice Location

Address: 4106 W LAKE MARY BLVD STE 130
City: Lake Mary
State: Florida
ZIP Code: 32746-3383
Phone: (407) 878-7615

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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