Individual
DR. RAMESH KONERU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
520 N DELAWARE AVE, SUITE # 4D, PHILADELPHIA, PA 19123-4226
(215) 923-8042
(215) 923-8064
Mailing address
14 FOX HUNT CIR, PLYMOUTH MEETING, PA 19462-1428
(610) 567-0937
(215) 923-8064
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD063700L
PA
2084P0805X
Geriatric Psychiatry Physician
MD063700L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01758980
—
PA
Enumeration date
06/25/2006
Last updated
12/09/2011
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