NPI 1003566456

Maneesh Koneru

Practitioner Student in an Organized Health Care Education/Training Program Charlottesville, VA

Practice location

Address: 1215 Lee St, Charlottesville, VA 22908-0816
Phone: (434) 924-2150
Mailing address: 1215 Lee St Box 800719, Charlottesville, VA 22908-0816

Registered specialties (2)

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X

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Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 125.081704 (IL)

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Registry record

NPI: 1003566456
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Mar 2022
Record last updated: 9 May 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.