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Individual

DR. VENKATA N. KONANKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1790 E BOSTON ST STE 101, GILBERT, AZ 85295-6248
(602) 933-3480
Mailing address
3200 E CAMELBACK RD STE 250, PHOENIX, AZ 85018-2327
(602) 933-1814

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4301089886
MI
208000000X
Pediatrics Physician
Primary
60225
AZ
208000000X
Pediatrics Physician
MD-440361
PA
208000000X
Pediatrics Physician
MD440361
PA

Other

Enumeration date
01/12/2008
Last updated
12/09/2020
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