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P Konda MD PA

NPI 1376759316ActiveOrganization· Specialist· Loxahatchee, FL

Specialist in Loxahatchee, Florida, registered in NPPES in May 2007, part of Dr. Prasad Konda. The authorized official on file is Prasad Konda, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1376759316
StatusActive
Entity typeOrganization (subpart)
Parent organizationDr. Prasad Konda
NPI issuedMay 15, 2007
Last updated in NPPESNov 7, 2016

Specialties and licenses

TaxonomyCodeLicenseState
Specialist Primary174400000XME43981FL

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

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Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (FL)

Medicare sources and data years

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