Individual
SRINIVAS KONERU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
33376 DEQUINDRE RD, STERLING HEIGHTS, MI 48310-5966
(586) 722-7440
(586) 722-7675
Mailing address
33376 DEQUINDRE RD, STERLING HEIGHTS, MI 48310-5966
(586) 722-7440
(586) 722-7675
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
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