Individual
DR. LATA KONERU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
4218 PENRITH CT, DUBLIN, OH 43016-8276
(614) 566-5000
(888) 760-4007
Mailing address
4218 PENRITH CT, DUBLIN, OH 43016-8276
(614) 659-0500
(888) 760-4007
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35073328
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2093265
—
OH
01
—
SP00321
MEDICARE GROUP NUMBER
OH
Enumeration date
03/24/2006
Last updated
01/29/2013
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