Individual
DR. CHANDRA S KONERU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1015 HIGHWAY 72 E, SUITE A, ATHENS, AL 35611
(256) 232-2505
(256) 230-3226
Mailing address
1015 HIGHWAY 72 E, SUITE A, ATHENS, AL 35611
(256) 232-2505
(256) 230-3226
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
17520
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000034166
—
AL
01
—
110141195
RAILROAD MEDICARE
—
Enumeration date
01/23/2007
Last updated
03/14/2014
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