Koneru, Sushma

Koneru, Sushma is an individual health care provider with primary practice located at 1723 Lucerne Ter Ste 100 , Orlando FL 32806-2916. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology. Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology is her primary health care specialty. Koneru, Sushma can be contacted via phone (407) 738-4200.

Contact Information

Primary practice address
1723 Lucerne Ter Ste 100 Orlando FL 32806-2916
Phone: (407) 738-4200
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 26298 Iowa
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 125-050062 Illinois
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X ME131009 Florida
Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology 207RA0001X ME131009 Florida

Profile Details

NPI number 1457572547
LBN Legal business name Koneru, Sushma
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2007
Last updated Nov 28th, 2023 - about last year

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 1457572547 NPPES
Florida MEDICAID 020180500
Florida MEDICAID 1457572547
Florida Other P01372068
Florida MEDICAID 036120390

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