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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750434080 | NPPES |
| Alabama | MEDICAID | 000034167 | |
| Alabama | Other | 110177847 |
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