Koneru, Chandra S

Koneru, Chandra S is an sole proprietor health care provider with primary practice located at 1015 Highway 72 E Suite A, Athens AL 35611. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Koneru, Chandra S can be contacted via phone (256) 232-2505.

Contact Information

Primary practice address
1015 Highway 72 E Suite A Athens AL 35611
Phone: (256) 232-2505
Fax: (256) 230-3226
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 17520 Alabama

Profile Details

NPI number 1982758132
LBN Legal business name Koneru, Chandra S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 23rd, 2007
Last updated Mar 14th, 2014 - about 10 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 1982758132 NPPES
Other 110141195 RAILROAD MEDICARE
MEDICAID 000034166 RAILROAD MEDICARE

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