Koneru, Bhanuprasad
Koneru, Bhanuprasad is an sole proprietor health care provider with primary practice located at 12781 World Plaza Ln Suite 1, Fort Myers FL 33907-4078. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Koneru, Bhanuprasad can be contacted via phone (239) 278-1911.Contact Information
Primary practice address
12781 World Plaza Ln Suite 1
Fort Myers FL 33907-4078
Phone: (239) 278-1911
Fax: (239) 278-4511
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME75079 | Florida |
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | ME75079 | Florida |
Profile Details
| NPI number | 1811909070 |
|---|---|
| LBN Legal business name | Koneru, Bhanuprasad |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 13th, 2006 |
| Last updated | Jun 19th, 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 | 1811909070 | NPPES |
| Florida | Other | K6032 | MEDICARE GROUP SENDER |
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