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Individual
SUCHITRA KONERU
Active
Individual
SUCHITRA KONERU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
234104
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00026938601
UNIVERA
NY
01
—
00026938603
UNIVERA
NY
01
—
000527972001
BLUE CROSS OF WNY
NY
01
—
000527972003
BLUE CROSS OF WNY
NY
01
—
0112743
INDEPENDENT HEALTH
NY
01
—
050128000096
FIDELIS
NY
01
—
051019000019
FIDELIS
NY
Enumeration date
07/05/2006
Last updated
03/20/2019
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