Hard rock aquifers of Indian peninsula are loaded with excess nitrate due to heavy use of fertilizers during irrigation and excess fluoride due to the geogenic contamination. This study is focused on the groundwater quality in Subledu Basin in view of the large-scale use of groundwater for both irrigation and drinking purposes as no such study was carried out earlier in the basin. The study area is located at Khammam district, Telangana state, India, which is a hard rock terrain mostly covered with granites and gneisses. Twenty-two groundwater samples were collected covering the entire basin in the month of May 2019 from running hand pumps for analyzing the major anions and cations in the groundwater. The samples were analyzed by using standard gravimetric method for evaluation of total dissolved solids; titrimetric methods to analyze carbonates, bicarbonates and chloride; UV spectrometric method for estimation of nitrate; and ion-selective electrode method for fluoride and spectrophotometer for sulfate and phosphate. These chemical constituents are used to calculate parameters, namely total hardness, sodium adsorption ratio, residual sodium carbonate, sodium percentage, Kelley’s ratio and magnesium hazard. The spatial distribution maps of important chemical constituents are prepared by using the contour maps created by utilizing the inverse distance weighted interpolation tool in the Geographical Information System. The excess fluoride values of 2.84 mg/l, 2.76 mg/l and 1.87 mg/l are observed in the villages of Pocharam, Kistapuram and Turakagudem, respectively, as against the maximum permissible concentration of 1.5 mg/l prescribed by World Health Organization. Excess use of fertilizers for agriculture is causing the nitrate pollution of groundwater in more than 50% of the samples with concentrations ranging from a minimum of 2 mg/l to a maximum of 460 mg/l in the villages of Medidapalle and Bachodu. It is identified that the total hardness is ranging between 200 and 820 mg/l which is very high when compared with the Bureau of Indian Standards. Based on sodium adsorption ratio, residual sodium carbonate, Kelley’s ratio, and sodium percentage analyses, two samples were not suitable for irrigation. Similarly, 13 samples are not suitable for drinking water purposes based on the excess presence of fluoride and nitrate. Groundwater quality maps of Subledu Basin depicting the areas suitable or not for the irrigation as well as for drinking purposes were prepared. From these maps, it is found that groundwater from large parts of the basin is not suitable for drinking purposes while for irrigation purposes it is suitable.