Organization Active NPI

Lata Koneru.MD, Inc

  • Internal Medicine Physician
  • Dublin, OH
National Provider Identifier
1104868579
Registry record updated Jul 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35073328K Issued in OH
Legal business name
LATA KONERU.MD, INC
Practice address
4218 Penrith CT
Dublin, OH 43016-8276
Phone
(614) 659-0500
Fax
(888) 760-4007
NPI assigned
Jun 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Lata Koneru, M.D.,
Title
Dr
Phone
(614) 659-0500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 35073328K OH Primary

Addresses

Primary practice location

4218 Penrith CT
Dublin, OH 43016-8276

Mailing address

4218 Penrith CT
Dublin, OH 43016-8276
Phone (614) 659-0500

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341446400000",
    "number": "1104868579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4218 PENRITH CT",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430168276",
            "telephone_number": "614-659-0500",
            "fax_number": "888-760-4007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4218 PENRITH CT",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430168276",
            "telephone_number": "614-659-0500",
            "fax_number": "888-760-4007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LATA KONERU.MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2012-07-05",
        "status": "A",
        "authorized_official_last_name": "KONERU",
        "authorized_official_first_name": "LATA",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "614-659-0500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.,"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35073328K",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.