Individual
DR. JAYANTH KONERU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2111 SW 20TH PL, OCALA, FL 34471-7734
(352) 622-4251
(352) 622-0102
Mailing address
2111 SW 20TH PL, OCALA, FL 34471-7734
(352) 622-4251
(352) 622-0102
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
29796
AL
207RI0011X
Interventional Cardiology Physician
Primary
ME124094
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0252646
—
FL
Enumeration date
09/24/2009
Last updated
03/18/2016
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