Individual
DR. PRAVEENA KONERU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
16407 SOUTHFIELD RD, ALLEN PARK, MI 48101
(313) 271-3000
(313) 271-3003
Mailing address
PO BOX 77000 DEPT 771255 DEPT 771255, DETROIT, MI 48277-1255
(313) 271-3000
(313) 271-3003
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
4301076287
MI
Other
Enumeration date
07/24/2006
Last updated
01/30/2019
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