Individual
BHAVANI KONERU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2150 W CENTRAL AVE, TOLEDO, OH 43606-3846
(419) 291-2200
(419) 479-3298
Mailing address
2150 W CENTRAL AVE, TOLEDO, OH 43606-3846
(419) 291-2200
(419) 479-3298
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35071506
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07603
PARAMOUNT
OH
01
—
12802
HEALTH PLAN OF MICHIGAN
MI
01
—
141978
PRIORITY
OH
01
—
1689670531
CIGNA
OH
05
—
1689670531
—
MI
05
—
2196903
—
OH
01
—
341881137
FRONT PATH
OH
01
—
7779163
AETNA
OH
Enumeration date
06/24/2005
Last updated
11/03/2023
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