Koneru, Nagendra Sai

Koneru, Nagendra Sai is an individual health care provider with primary practice located at 2160 S 1St Ave , Maywood IL 60153-3328. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Koneru, Nagendra Sai can be contacted via phone (708) 216-9000.

Contact Information

Primary practice address
2160 S 1St Ave Maywood IL 60153-3328
Phone: (708) 216-9000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 036116453 Illinois
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 39741 Iowa
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 50738 Wisconsin
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X ME175426 Florida

Profile Details

NPI number 1508989260
LBN Legal business name Koneru, Nagendra Sai
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2007
Last updated Nov 3rd, 2025 - about last year

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 1508989260 NPPES
Wisconsin MEDICAID 34936900
Wisconsin MEDICAID 1316231012

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