Individual provider · Type 1 NPI

Sudha Srivalli Konakanchi, MD

Student in an Organized Health Care Education/Training Program · Conway, AR

NPI number 1134970643 Active

Practice location

2302 College Ave
Conway, AR 72034-6297

Call (501) 329-3831 Map

Specialties and licenses

TaxonomyCodeLicense
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.

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About NPI 1134970643

Sudha Srivalli Konakanchi, MD's National Provider Identifier is 1134970643, issued on Apr 1, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Conway, AR. The record was last updated on Apr 1, 2024.