Koneru, Lata
Koneru, Lata is an sole proprietor health care provider with primary practice located at 4218 Penrith Ct , Dublin OH 43016-8276. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Koneru, Lata can be contacted via phone (614) 566-5000.Contact Information
Primary practice address
4218 Penrith Ct
Dublin OH 43016-8276
Phone: (614) 566-5000
Fax: (888) 760-4007
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 35073328 | Ohio |
Profile Details
NPI number | 1881654945 |
---|---|
LBN Legal business name | Koneru, Lata |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 24th, 2006 |
Last updated | Jan 29th, 2013 - about 11 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 | 1881654945 | NPPES |
Ohio | Other | SP00321 | MEDICARE GROUP NUMBER |
Ohio | MEDICAID | 2093265 | MEDICARE GROUP NUMBER |
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