Koneru, Sudhir

Koneru, Sudhir is an individual health care provider with primary practice located at 1515 Delhi St Suite 300 , Dubuque IA 52001-6320. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Koneru, Sudhir can be contacted via phone (563) 557-8500.

Contact Information

Primary practice address
1515 Delhi St Suite 300 Dubuque IA 52001-6320
Fax: (563) 589-4050
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 20237 Iowa

Profile Details

NPI number 1659343630
LBN Legal business name Koneru, Sudhir
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2006
Last updated Nov 13th, 2007 - about 18 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 1659343630 NPPES
Wisconsin MEDICAID 31349500
Wisconsin Other 20237
Wisconsin MEDICAID 4956566012
Wisconsin MEDICAID 0127845

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