Konda, Sailesh

Konda, Sailesh is an sole proprietor health care provider with primary practice located at 4037 Nw 86Th Ter 4Th Floor, Gainesville FL 32606-9277. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is his primary health care specialty. Konda, Sailesh can be contacted via phone (352) 594-1942.

Contact Information

Primary practice address
4037 Nw 86Th Ter 4Th Floor Gainesville FL 32606-9277
Phone: (352) 594-1942
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X ME125090 Florida
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X ME125090 Florida
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X ME125090 Florida

Profile Details

NPI number 1104051515
LBN Legal business name Konda, Sailesh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 29th, 2009
Last updated Jan 20th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104051515 NPPES
Florida MEDICAID 015594200

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