Individual
DR. ANU RADHA KONAKANCHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
261 OLD YORK RD, SUITE 304, JENKINTOWN, PA 19046-3706
(215) 887-9840
(215) 887-9842
Mailing address
261 OLD YORK RD, STE 304, JENKINTOWN, PA 19046-3706
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD055549L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1523900
—
PA
Enumeration date
09/02/2005
Last updated
11/14/2007
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