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Dr. Venu Madhav Konala, MD
Hematology & Oncology Physician in Douglasville, Georgia
NPI 1164752952

Venu Madhav Konala is a Hematology & Oncology Physician based in Atlanta, GA and is specialized in Hematology & Oncology. Venu Madhav Konala practices in Douglasville, GA and has the professional credentials of MD. The NPI Number for Venu Madhav Konala is 1164752952 and holds a License No. BP10043399 (Georgia).

The current practice location address for Venu Madhav Konala is 4586 Timber Ridge Dr Ste 200, Douglasville, GA and can be reached out via phone at 770-942-0457 and via fax at 770-942-7699.

Location: 4586 Timber Ridge Dr Ste 200, Douglasville, GA, 30341-1071
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164752952
Provider Name
Venu Madhav Konala
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4586 Timber Ridge Dr Ste 200, Douglasville, GA, 30341-1071
Phone Number
770-942-0457
Fax Number
770-942-7699
Provider Enumeration Date
12/30/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
G32296A 01 GA MEDICARE PTAN
003268156A 05 GA
institution
Provider Business Practice Location Address Details
Address
4586 Timber Ridge Dr Ste 200
City
Douglasville
State
Georgia
Zip
30135-7514
Phone Number
770-942-0457
Fax Number
770-942-7699
person
Provider Business Mailing Address Details
Address
4586 Timber Ridge Dr Ste 200
City
Douglasville
State
Georgia
Zip
30135-7514
Phone Number
770-942-0457
Fax Number
770-942-7699
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
MT195043 (Pennsylvania)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
BP10043399 (Texas)
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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