Dr Revathi Nagabhairu Koneru, MD | |
1826 Veterans Blvd, Dublin, GA 31021-3620 | |
(478) 272-1210 | |
Not Available |
Full Name | Dr Revathi Nagabhairu Koneru |
---|---|
Gender | Female |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 1826 Veterans Blvd, Dublin, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023060266 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 224949 (New York) | Primary |
Entity Name | Personal Recovery Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881990869 PECOS PAC ID: 5092611384 Enrollment ID: O20120110000096 |
Mailing Address | Practice Location Address |
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Dr Revathi Nagabhairu Koneru, MD 1826 Veterans Blvd, Dublin, GA 31021-3620 Ph: (478) 272-1210 | Dr Revathi Nagabhairu Koneru, MD 1826 Veterans Blvd, Dublin, GA 31021-3620 Ph: (478) 272-1210 |
Dr. David Monroe Nichols, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1826 Veterans Blvd, Dublin, GA 31021 Phone: 478-272-1210 | |
A. James Giannini, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2121a Bellevue Rd, Dublin, GA 31021 Phone: 478-272-1190 Fax: 478-274-7628 | |
Dr. Thomas Reid Rumble, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2121a Bellevue Rd, Dublin, GA 31021 Phone: 478-272-1190 Fax: 478-274-7628 | |
Thein Lwin, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2121a Bellevue Rd, Csb Of Middle Georgia, Dublin, GA 31021 Phone: 478-272-1190 Fax: 478-274-7628 | |
Newton W Chism Jr., MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2400 Bellevue Rd, #23 Erin Office Park, Dublin, GA 31021 Phone: 478-272-8580 Fax: 478-275-0012 | |
Leena Fatima Kizilbash, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1826 Veterans Blvd, Dublin, GA 31021 Phone: 800-562-8663 |