Individual
KALYANA KONERU
Active
Individual
KALYANA KONERU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD437553
PA
207R00000X
Internal Medicine Physician
MT188468
PA
Other
Enumeration date
06/10/2008
Last updated
04/12/2010
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