Koneru, Srinivas

Koneru, Srinivas is an individual health care provider with primary practice located at 33376 Dequindre Rd , Sterling Heights MI 48310-5966. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Koneru, Srinivas can be contacted via phone (586) 722-7440.

Contact Information

Primary practice address
33376 Dequindre Rd Sterling Heights MI 48310-5966
Phone: (586) 722-7440
Fax: (586) 722-7675
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 4301080674 Michigan

Profile Details

NPI number 1477599587
LBN Legal business name Koneru, Srinivas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2006
Last updated Jan 22nd, 2021 - about 3 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 1477599587 NPPES
Other G58723 HAP
Other 136847 HAP
MEDICAID 449652010 HAP
Other 110E014810 HAP
Other 16829 HAP
Other P00012493 HAP
Other 136847 HAP
Other 144732 HAP
Other 110E014810 HAP
Other 136847 HAP
Other 921607 HAP

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