Radhika Koneru, MD
Internal Medicine in Worcester, Massachusetts
1902061195- Practice location
- 403 Belmont St, Worcester, MA 01604-1019
- Phone
- 508-425-2505
- Fax
- 508-425-2600
- Last updated
- June 5, 2023
Radhika Koneru is an Internal Medicine based in Worcester, MA. Radhika Koneru practices in Worcester, MA and has the professional credentials of MD. The NPI Number for Radhika Koneru is 1902061195 and holds a License No. 125050767 (IL). The current practice location address for Radhika Koneru is 403 Belmont St, Worcester, MA 01604-1019 and can be reached out via phone at 508-425-2505 and via fax at 508-425-2600.
Provider Profile Details
- NPI Number
- 1902061195
- Provider Name
- Radhika Koneru
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 403 Belmont St, Worcester, MA 01604-1019
- Phone Number
- 508-425-2505
- Fax Number
- 508-425-2600
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Sole Proprietor
- No
- Other Names
- -- Radhika Mutyala, MD (Former Name)
- Provider Enumeration Date
- July 28, 2008
- Last Update Date
- June 5, 2023
- Certification Date
- June 5, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 403 Belmont St
Worcester, MA 01604-1019 - City
- Worcester
- State
- Massachusetts
- Zip
- 01604-1019
- Phone Number
- 508-425-2505
- Fax Number
- 508-425-2600
Provider Business Mailing Address Details
- Address
- 403 Belmont St
Worcester, MA 01604-1019 - City
- Worcester
- State
- MA
- Zip
- 01604-1019
- Phone Number
- 508-425-2505
- Fax Number
- 508-425-2600
License Information
- License Number (1)
- 125050767
- License State (1)
- IL
- Taxonomy (1)
- Internal Medicine · 207R00000X
- License Number (2)
- 290805
- License State (2)
- MA
- Taxonomy (2)
- Internal Medicine · 207R00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Radhika Koneru, MD?
The NPI number of Radhika Koneru, MD is 1902061195. It was assigned on July 28, 2008 and is currently active in the NPPES registry.
What is the specialty of Radhika Koneru, MD?
Radhika Koneru, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in IL under license number 125050767.
Where does Radhika Koneru, MD practice?
The practice location is 403 Belmont St, Worcester, MA 01604-1019. The office can be reached at 508-425-2505 (phone) or 508-425-2600 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1902061195 directly on the NPPES registry website.