Koneru, Baburao
Koneru, Baburao is an individual health care provider with primary practice located at 90 Bergen St Doc 7100, Newark NJ 07103-2425. He recently has only one registered license in Allopathic & Osteopathic Physicians / Transplant Surgery, which is considered as his primary health care specialty. Koneru, Baburao can be contacted via phone (973) 972-7218.Contact Information
Primary practice address
90 Bergen St Doc 7100
Newark NJ 07103-2425
Phone: (973) 972-7218
Fax: (973) 972-6227
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Transplant Surgery | 204F00000X | 25MA05256900 | New Jersey |
Profile Details
| NPI number | 1588694558 |
|---|---|
| LBN Legal business name | Koneru, Baburao |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 4th, 2006 |
| Last updated | Mar 21st, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588694558 | NPPES |
| New Jersey | MEDICAID | 3989208 |
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