Sushma Koneru
Internist Internist - Cardiovascular Disease Advanced Heart Failure and Transplant Cardiologist
521 W State Road 434 Ste 307&308
Longwood
, Florida 32750-4984
Sushma Koneru
Internist Internist - Cardiovascular Disease Advanced Heart Failure and Transplant Cardiologist
521 W State Road 434 Ste 307&308
Longwood
, Florida 32750-4984
(407) 650-1307
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About
Features
Specialties
- Internist
- Advanced Heart Failure and Transplant Cardiologist
- Internist - Cardiovascular Disease
Languages spoken
- English
Location
First Address
- Sushma Koneru
- 521 W State Road 434 Ste 307&308
- Longwood, FL
- Zip : 32750-4984
- Fax : (407) 650-1307
- Phone : (321) 841-6444
Second Address
- Sushma Koneru
- 521 W State Road 434 Ste 307&308
- Longwood, FL
- Zip : 32750-4984
- Fax : (407) 650-1307
- Phone : (321) 841-6444
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FAQs
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Where is Sushma Koneru ’s practice located?
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Is Sushma Koneru a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 125-050062 | IL |
| N | 111NI0900X | Internist | 125-050062 | IL |
| Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | ME131009 | FL |
| N | 207RC0000X | Internist - Cardiovascular Disease | 26298 | IA |
| N | 207RC0000X | Internist - Cardiovascular Disease | ME131009 | FL |
National Provider Identifier
| NPI | 1457572547 |
|---|---|
| Provider Name | Sushma Koneru |
| First Address | Longwood, FL 32750-4984 |
| Second Address | Longwood, FL 32750-4984 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/05/2007 |
| Last Update Date | 22/02/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 020180500 | (05) | FL |
| 036120390 | (05) | IL |
| 1457572547 | (05) | IA |
| P01372068 | RR MEDICARE (01) | IA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.