Individual
SRINIVAS KONERU
Active
Individual
SRINIVAS KONERU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
4301080674
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110E014810
BCBS
—
01
—
136847
CARE CHOICES
—
01
—
144732
GREAT LAKES
—
01
—
16829
MCARE
—
05
—
449652010
—
MI
01
—
921607
OMNI
—
01
—
G58723
HAP
—
01
—
P00012493
PALMETTO
—
Enumeration date
06/20/2006
Last updated
01/22/2021
Update your record
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