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Sudha Srivalli Konakanchi, MD
Student in an Organized Health Care Education/Training Program in Conway, Arkansas
NPI 1134970643

Sudha Srivalli Konakanchi is a Student in an Organized Health Care Education/Training Program based in Conway, AR. Sudha Srivalli Konakanchi practices in Conway, AR and has the professional credentials of MD. The NPI Number for Sudha Srivalli Konakanchi is 1134970643 and holds a License No. (Arkansas).

The current practice location address for Sudha Srivalli Konakanchi is 2302 College Ave, Conway, AR and can be reached out via phone at 501-329-3831. You can also correspond with Sudha Srivalli Konakanchi through the mailing address at 2302 COLLEGE AVE, CONWAY, AR - 72034-6297 (mailing address contact number: 501-329-3831).

Location: 2302 College Ave, Conway, AR, 72034-6297
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134970643
Provider Name
Sudha Srivalli Konakanchi
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2302 College Ave, Conway, AR, 72034-6297
Phone Number
501-329-3831
Fax Number
Provider Enumeration Date
04/01/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
2302 College Ave
City
Conway
State
Arkansas
Zip
72034-6297
Phone Number
501-329-3831
Fax Number
person
Provider Business Mailing Address Details
Address
2302 College Ave
City
Conway
State
Arkansas
Zip
72034-6297
Phone Number
501-329-3831
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Arkansas)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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