Provider Demographics
NPI:1164696209
Name:KONDA, VANI J ALBERTSON (MD)
Entity type:Individual
Prefix:DR
First Name:VANI
Middle Name:J ALBERTSON
Last Name:KONDA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:VANI
Other - Middle Name:JANARDHAN
Other - Last Name:KONDA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3434 SWISS AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75204-6251
Mailing Address - Country:US
Mailing Address - Phone:469-800-7050
Mailing Address - Fax:469-800-7060
Practice Address - Street 1:3434 SWISS AVE STE 200
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75204-6251
Practice Address - Country:US
Practice Address - Phone:469-800-7050
Practice Address - Fax:469-800-7060
Is Sole Proprietor?:No
Enumeration Date:2008-04-18
Last Update Date:2025-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-113090207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology