Koneru, Vijaya

Koneru, Vijaya is an individual health care provider with primary practice located at 1015 Highway 72 E Suite A, Athens AL 35611. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Koneru, Vijaya can be contacted via phone (256) 232-2505.

Contact Information

Primary practice address
1015 Highway 72 E Suite A Athens AL 35611
Phone: (256) 232-2505
Fax: (256) 230-3226
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 18490 Alabama

Profile Details

NPI number 1750434080
LBN Legal business name Koneru, Vijaya
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2007
Last updated Jan 25th, 2008 - about 16 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 1750434080 NPPES
Alabama MEDICAID 000034167
Alabama Other 110177847

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