Konakanchi, Anu Radha

Konakanchi, Anu Radha is an sole proprietor health care provider with primary practice located at 261 Old York Rd Suite 304, Jenkintown PA 19046-3706. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Konakanchi, Anu Radha can be contacted via phone (215) 887-9840.

Contact Information

Primary practice address
261 Old York Rd Suite 304 Jenkintown PA 19046-3706
Phone: (215) 887-9840
Fax: (215) 887-9842
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD055549L Pennsylvania

Profile Details

NPI number 1073507216
LBN Legal business name Konakanchi, Anu Radha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 2nd, 2005
Last updated Nov 14th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073507216 NPPES
Pennsylvania MEDICAID 1523900

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