Koneru, Jayanth

Koneru, Jayanth is an individual health care provider with primary practice located at 2111 Sw 20Th Pl , Ocala FL 34471-7734. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Koneru, Jayanth can be contacted via phone (352) 622-4251.

Contact Information

Primary practice address
2111 Sw 20Th Pl Ocala FL 34471-7734
Phone: (352) 622-4251
Fax: (352) 622-0102
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X ME124094 Florida
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 29796 Alabama

Profile Details

NPI number 1962736801
LBN Legal business name Koneru, Jayanth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 24th, 2009
Last updated Mar 18th, 2016 - about 10 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 1962736801 NPPES
Florida MEDICAID 0252646

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