Koneru, Bhavani
Koneru, Bhavani is an individual health care provider with primary practice located at 2150 W Central Ave , Toledo OH 43606-3846. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Koneru, Bhavani can be contacted via phone (419) 291-2200.Contact Information
Primary practice address
2150 W Central Ave
Toledo OH 43606-3846
Phone: (419) 291-2200
Fax: (419) 479-3298
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 35071506 | Ohio |
Profile Details
NPI number | 1689670531 |
---|---|
LBN Legal business name | Koneru, Bhavani |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 24th, 2005 |
Last updated | Nov 3rd, 2023 - about last year |
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 | 1689670531 | NPPES |
Ohio | MEDICAID | 2196903 | |
Ohio | Other | 341881137 | |
Ohio | Other | 07603 | |
Ohio | MEDICAID | 1689670531 | |
Ohio | Other | 12802 | |
Ohio | Other | 141978 | |
Ohio | Other | 1689670531 | |
Ohio | Other | 7779163 |
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