Individual
PRAVEEN KONERU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 MEDICAL PKWY, LAKEWAY, TX 78738-5621
(512) 571-5000
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
243861
MA
207R00000X
Internal Medicine Physician
50288
WI
207R00000X
Internal Medicine Physician
Q0090
TX
208M00000X
Hospitalist Physician
Primary
Q0090
TX
Other
Enumeration date
06/27/2007
Last updated
01/26/2022
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