Individual
SIRISHA KONERU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
888 OLD COUNTRY ROAD, PLAINVIEW, NY 11803-1628
(516) 719-3000
Mailing address
888 OLD COUNTRY RD, PLAINVIEW, NY 11803-4914
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
306889
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/05/2016
Last updated
02/18/2025
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