Individual provider · Type 1 NPI

Maneesh Koneru

Student in an Organized Health Care Education/Training Program · Charlottesville, VA

NPI number 1003566456 Active

Practice location

1215 Lee St
Charlottesville, VA 22908-0816

Call (434) 924-2150 Map

Mailing address

1215 Lee St Box 800719
Charlottesville, VA 22908-0816

Other practice locations

  • 611 W Park St, Urbana, IL 61801-2529 · (217) 383-3311

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician 208600000X125.081704 (IL)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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.

1,753 other providers at this address

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About NPI 1003566456

Maneesh Koneru's National Provider Identifier is 1003566456, issued on Mar 28, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Charlottesville, VA. The record was last updated on May 9, 2023.