Koneru, Revathi Nagabhairu
Koneru, Revathi Nagabhairu is an individual health care provider with primary practice located at 1826 Veterans Blvd , Dublin GA 31021-3620. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Koneru, Revathi Nagabhairu can be contacted via phone (478) 272-1210.Contact Information
Primary practice address
1826 Veterans Blvd
Dublin GA 31021-3620
Phone: (478) 272-1210
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 224949 | New York |
Profile Details
| NPI number | 1023060266 |
|---|---|
| LBN Legal business name | Koneru, Revathi Nagabhairu |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 16th, 2006 |
| Last updated | Jul 13th, 2007 - about 17 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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