Individual
MANEESH KONERU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1215 LEE ST, CHARLOTTESVILLE, VA 22908-0816
(434) 924-2150
Mailing address
1215 LEE ST BOX 800719, CHARLOTTESVILLE, VA 22908-0816
(434) 924-2150
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
125.081704
IL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/28/2022
Last updated
05/09/2023
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