National Provider Identifier

Sripada Kondur, PA

Sripada Kondur, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Rochester, NY and a listed phone number of (585) 275-2100.

NPI 1063248367Rochester, NYPhysician Assistant

Profile Overview

NPI
1063248367
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
September 12, 2024
Last Updated
May 13, 2025

Practice Location

  • 601 Elmwood Avenue Box 619-13
  • Rochester, NY 14642-5965

Phone: (585) 275-2100

Mailing Address

  • 601 Elmwood Ave
  • Rochester, NY 14642-0002

Specialties

  • Physician Assistant (363A00000X)
  • Physician Assistant (363A00000X)
Full Record
NPI
1063248367
Entity Type
Individual
Last Name
Kondur
First Name
Sripada
Credential
PA
Mailing Street Address
601 Elmwood Ave
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14642-0002
Mailing Country
US
Mailing Phone
(585) 275-2100
Practice Street Address
601 Elmwood Avenue Box 619-13
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14642-5965
Practice Country
US
Practice Phone
(585) 275-2100
Enumeration Date
September 12, 2024
Last Updated
May 13, 2025
Sex
Female
Sole Proprietor
Yes
Certification Date
May 13, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X), Physician Assistant (363A00000X)