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Individual
RAMESH KONAKANCHI
Active
Individual
RAMESH KONAKANCHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
210030
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00025357701
UNIVERA
NY
01
—
00525514003
BLUE CROSS BLUE SHIELD
NY
05
—
01988852
—
NY
01
—
1511004
INDEPENDENT HEALTH
NY
Enumeration date
03/01/2006
Last updated
07/05/2010
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