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Individual
RAMAPRASAD KONANUR
Active
Individual
RAMAPRASAD KONANUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
036-111825
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36111825
—
IL
01
—
5715390
BCBS
IL
01
—
809840018
MEDICARE INDIVIDUAL PTAN
IL
01
—
95016
HEALTHALLIANCE
IL
01
—
P00183517
MEDICARE RAILROAD
IL
Enumeration date
07/08/2006
Last updated
08/04/2009
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