Most Relevant Information
Provider Data
| NPI Number: | 1003566456 |
| Provider Name: | MANEESH KONERU |
| Entity Type: | Individual |
| Taxonomy Code: | 208600000X |
| Specialty: | Surgery |
| License Number: | 125.081704 |
Most Important Dates
| Enumeration Date: | 03/28/2022 |
| Last Updated: | 05/09/2023 |
Provider Practice Location
1215 LEE ST
CHARLOTTESVILLE
VA
229080816
Practice Location Phone/Fax
| Phone: | 4349242150 |
| Fax: |
Provider Mailing Location
1215 LEE ST BOX 800719
CHARLOTTESVILLE
VA
229080816
Provider Mailing Phone/Fax
| Phone: | 4349242150 |
| Fax: |
Suggested EMR
Surgeon EMR