Individual
DR. JAYAKRISHNAKAMAL KONIJETI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
01053730A
IN
207RN0300X
Nephrology Physician
Primary
38355
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000341492
ANTHEM
KY
05
—
200469740A
—
IN
01
—
50004665
PASSPORT
KY
05
—
64075005
—
KY
Enumeration date
06/09/2005
Last updated
07/01/2025
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