Dr. Jayanth Koneru, M.D.
Internal Medicine, Interventional Cardiology in Ocala, FL. Individual provider (NPI-1).
NPI number1962736801
StatusActive
Last updated in NPPESMar 18, 2016
Details
- NPI
- 1962736801
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jayanth Koneru
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 24, 2009
- Last updated
- Mar 18, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RI0011X | Internal Medicine, Interventional Cardiology | ME124094 | FL | Yes |
| 207R00000X | Internal Medicine | 29796 | AL |
Practice location
2111 Sw 20th PlOcala, FL 34471-7734
Phone 352-622-4251 · Fax 352-622-0102
Mailing address
2111 Sw 20th PlOcala, FL 34471-7734
Phone 352-622-4251 · Fax 352-622-0102
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