SHASHANK KOTAKONDA

WILKES BARRE, PA
NPI1467892927
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208M00000X Hospitalist
(Licence: PA  MD458422)
Additional Taxonomies207R00000X Internal Medicine
(Licence: PA  MD458422)
Enumeration Date2013-06-28
Last Update Date2016-09-29
Business Address
-- SHASHANK KOTAKONDA MB;BS
1000 E MOUNTAIN BLVD
WILKES BARRE, PA 18711-3539
Phone number: 570-808-7399
Mailing Address
-- SHASHANK KOTAKONDA MB;BS
100 NORTH ACADEMY AVENUE
DANVILLE, PA 17822-4903
Phone number: 570-271-6144