Koneru, Ramesh

Koneru, Ramesh is an individual health care provider with primary practice located at 520 N Delaware Ave Suite # 4D, Philadelphia PA 19123-4226. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Koneru, Ramesh can be contacted via phone (215) 923-8042.

Contact Information

Primary practice address
520 N Delaware Ave Suite # 4D Philadelphia PA 19123-4226
Phone: (215) 923-8042
Fax: (215) 923-8064
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD063700L Pennsylvania
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X MD063700L Pennsylvania

Profile Details

NPI number 1184650475
LBN Legal business name Koneru, Ramesh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2006
Last updated Dec 9th, 2011 - about 13 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 1184650475 NPPES
Pennsylvania MEDICAID 01758980

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