Koneru, Geethadevi
Koneru, Geethadevi is an sole proprietor health care provider with primary practice located at 5328 Coldwater Rd , Fort Wayne IN 46825-5445. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Koneru, Geethadevi can be contacted via phone (888) 988-4066.Contact Information
Primary practice address
5328 Coldwater Rd
Fort Wayne IN 46825-5445
Phone: (888) 988-4066
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 12012392A | Indiana |
Profile Details
| NPI number | 1033593587 |
|---|---|
| LBN Legal business name | Koneru, Geethadevi |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 15th, 2015 |
| Last updated | Jul 15th, 2015 - about 11 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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