Most Relevant Information
Provider Data
| NPI Number: | 1003559915 |
| Provider Name: | LAKSHMI NAMRATHA KONERU MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/18/2022 |
| Last Updated: | 04/18/2022 |
Provider Practice Location
10300 SW 216TH ST
CUTLER BAY
FL
331901003
Practice Location Phone/Fax
| Phone: | 3052535100 |
| Fax: |
Provider Mailing Location
4046 EMERSON COVE DR
SPRING
TX
773864791
Provider Mailing Phone/Fax
| Phone: | 6098324252 |
| Fax: |