Individual
SURESH KONERU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
423 TREELINE PARK, SUITE 300, SAN ANTONIO, TX 78209-2060
(210) 499-5900
(210) 333-4975
Mailing address
423 TREELINE PARK, SUITE 300, SAN ANTONIO, TX 78209-2060
(210) 499-5900
(210) 333-4975
Taxonomy
Speciality
Code
Description
License number
State
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
Primary
K0874
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029455501
—
TX
Enumeration date
07/29/2005
Last updated
11/01/2011
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