Individual
DR. JAYANTHI NAGENDRA KONERU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1250 E MARSHALL ST, INTERNAL MEDICINE, RICHMOND, VA 23298-5051
(804) 628-0147
(804) 827-1011
Mailing address
1200 E MARSHALL ST, RICHMOND, VA 23298
(804) 628-0734
(804) 342-7619
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
0101251764
VA
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
0101251764
VA
Other
Enumeration date
07/19/2007
Last updated
03/06/2024
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