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Dr. Kalyan Koneru, MD
Student in an Organized Health Care Education/Training Program in Newark, New Jersey
NPI 1295389104

Kalyan Koneru is a Student in an Organized Health Care Education/Training Program based in Newark, NJ. Kalyan Koneru practices in Newark, NJ and has the professional credentials of MD. The NPI Number for Kalyan Koneru is 1295389104 and holds a License No. (New Jersey).

The current practice location address for Kalyan Koneru is 111 Central Ave, Newark, NJ and can be reached out via phone at 626-244-4695.

Location: 111 Central Ave, Newark, NJ, 07102-1909
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295389104
Provider Name
Kalyan Koneru
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
111 Central Ave, Newark, NJ, 07102-1909
Phone Number
626-244-4695
Fax Number
Provider Enumeration Date
07/29/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
111 Central Ave
City
Newark
State
New Jersey
Zip
07102-1909
Phone Number
626-244-4695
Fax Number
person
Provider Business Mailing Address Details
Address
111 Central Ave
City
Newark
State
New Jersey
Zip
07102-1909
Phone Number
626-244-4695
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.
()
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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