Individual
HAREEPRASAD REDDY VONGOORU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
711 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3439
(859) 301-0124
(859) 301-0699
Mailing address
PO BOX 636324, CINCINNATI, OH 45263-6324
(859) 301-2000
(859) 426-4140
Taxonomy
Speciality
Code
Description
License number
State
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
42675
KY
207RC0000X
Cardiovascular Disease Physician
42675
KY
Other
Enumeration date
10/24/2007
Last updated
11/03/2021
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