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
Fax: (888) 760-4007
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881654945 NPPES
Ohio Other SP00321 MEDICARE GROUP NUMBER
Ohio MEDICAID 2093265 MEDICARE GROUP NUMBER

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