Individual
NAGENDRA SAI KONERU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
036116453
IL
2085R0001X
Radiation Oncology Physician
39741
IA
2085R0001X
Radiation Oncology Physician
50738
WI
2085R0001X
Radiation Oncology Physician
ME175426
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316231012
—
IA
05
—
34936900
—
WI
Enumeration date
04/09/2007
Last updated
11/03/2025
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