National Provider Identifier
Suchitra Koneru, M.D.
Suchitra Koneru, M.D. is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Williamsville, NY and a listed phone number of (716) 634-8262.
Profile Overview
- NPI
- 1336170729
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- July 05, 2006
- Last Updated
- March 20, 2019
Practice Location
- 400 International Dr
- Williamsville, NY 14221-5760
Phone: (716) 634-8262
Mailing Address
- 6333 Main Street
- Williamsville, NY 14221-5760
Specialties
- Family Medicine Physician (207Q00000X)
Full Record
- NPI
- 1336170729
- Entity Type
- Individual
- Last Name
- Koneru
- First Name
- Suchitra
- Credential
- M.D.
- Mailing Street Address
- 6333 Main Street
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-5760
- Mailing Country
- US
- Mailing Phone
- (716) 634-8262
- Mailing Fax
- (716) 633-2593
- Practice Street Address
- 400 International Dr
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-5760
- Practice Country
- US
- Practice Phone
- (716) 634-8262
- Practice Fax
- (716) 633-2593
- Enumeration Date
- July 05, 2006
- Last Updated
- March 20, 2019
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Medicine Physician (207Q00000X)
- Other Identifiers
- 00026938601 (NY, Univera), 0112743 (NY, Independent Health), 051019000019 (NY, Fidelis), 050128000096 (NY, Fidelis), 000527972003 (NY, Blue Cross Of Wny), 00026938603 (NY, Univera), 000527972001 (NY, Blue Cross Of Wny)