Konakondla, Prem K

Konakondla, Prem K is an individual health care provider with primary practice located at 701 E County Line Rd Suite 101, Greenwood IN 46143-1072. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Konakondla, Prem K can be contacted via phone (317) 885-2860.

Contact Information

Primary practice address
701 E County Line Rd Suite 101 Greenwood IN 46143-1072
Phone: (317) 885-2860
Fax: (317) 885-2869
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01067488A Indiana
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X 01067488A Indiana
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 11014069A Indiana

Profile Details

NPI number 1114186913
LBN Legal business name Konakondla, Prem K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2008
Last updated Apr 15th, 2024 - about 2 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 1114186913 NPPES
Indiana MEDICAID 200979950

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