Individual
DR. JAYAKRISHNAKAMAL KONIJETI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4101 TECHNOLOGY AVE, NEW ALBANY, IN 47150-8548
(812) 941-4500
Mailing address
4101 TECHNOLOGY AVE, NEW ALBANY, IN 47150-8548
(812) 941-4500
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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