NAGENDRA SAI KONERU (NPI# 1508989260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508989260 |
Entity Type | Individual |
Full Name | NAGENDRA SAI KONERU |
Other Name | BOBBY KONERU |
Credential | M.D. |
Practice Address |
350 N Grandview Ave Wendt Regional Cancer Center Dubuque IA 52001-6388 |
Mailing Address |
Po Box 1086 Dubuque IA 52004-1086 |
Practice Telephone | 5635892468 |
Mailing Telephone | 5635563175 |
Mailing Fax Number | 5635945256 |
Enumeration Date | 2007-04-09 |
Last Update Date | 2017-08-01 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
39741 | IA | Allopathic & Osteopathic Physicians |
N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
50738 | WI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IA | 1316231012 | 05 | |
WI | 34936900 | 05 |
Street Address |
350 N GRANDVIEW AVE WENDT REGIONAL CANCER CENTER |
City | DUBUQUE |
State | IA |
Zip Code | 52001-6388 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730171349 | David Kurtz | Family Medicine | 350 N Grandview Ave, Dubuque, IA 52001-6388 | 2005-08-19 |
1497229991 | Lucas Evett | Physician Assistant | 350 N Grandview Ave, Dubuque, IA 52001-6388 | 2019-01-17 |
1558844852 | Steven Bryan Jones | Registered Nurse | 350 N Grandview Ave, Dubuque, IA 52001-6388 | 2018-09-12 |
1407340268 | Alexander Koch | Specialist/Technologist | 350 N Grandview Ave, Dubuque, IA 52001-6388 | 2018-06-15 |
1326541871 | Halo Health & Pain Management LLC | Nurse Practitioner | 350 N Grandview Ave, Dubuque, IA 52001-6388 | 2018-03-12 |
1275067985 | Chelsea Roth | Dietitian, Registered | 350 N Grandview Ave, Dubuque, IA 52001-6388 | 2017-04-19 |
1366976110 | Maureen Kay Olson | Dietitian, Registered | 350 N Grandview Ave, Unity Point Health Finley Hospital, Food Service, Dubuque, IA 52001-6388 | 2017-04-19 |
1558810978 | Angelique Mccoy | Nurse Practitioner | 350 N Grandview Ave, Dubuque, IA 52001-6388 | 2016-09-27 |
1376908897 | The Finley Hospital | Orthopaedic Surgery | 350 N Grandview Ave, Dubuque, IA 52001-6388 | 2015-12-29 |
1699147124 | Lorraine Jane Lorenz | Dietitian, Registered | 350 N Grandview Ave, Dubuque, IA 52001 | 2015-10-23 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992291132 | Klauer Optometry PC | Optometrist | 1705 Delhi St Uppr Level, Dubuque, IA 52001 | 2018-07-10 |
1710496427 | Ryan Michael Chatfield | Counselor | 799 Main St. Suite 110, Dubuque, IA 52001 | 2017-09-26 |
1396274791 | Patricia Ochs | Social Worker | 200 Mercy Dr., Ste. 200, Dubuque, IA 52001 | 2017-06-08 |
1770025264 | Young Men's Christian Association of Dubuque, Iowa | Health Educator | 35 North Booth Street, Dubuque, IA 52001 | 2016-11-15 |
1912388786 | Benjamin N Baker | Nurse Anesthetist, Certified Registered | 1515 Delhi Street, Suite 300, Mississippi Valley Anesthesiology, Dubuque, IA 52001 | 2015-06-17 |
1437536752 | Lucas Stephen Flamich | Optometrist | 300 N Grandview Ave., Dubuque, IA 52001 | 2015-05-06 |
1386067635 | Mississippi Valley Anesthesiology | Anesthesiology | 350 Grandview Avenue, Dubuque, IA 52001 | 2014-01-22 |
1376815209 | Umeka Latasha Lewis | Adult Companion | 1308 1/2 Jackson St, Dubuque, IA 52001 | 2012-02-08 |
1861777450 | Kevin Joseph Natzke | Pharmacist | 250 Mercy Drvie, Mercy Family Pharmacy, Dubuque, IA 52001 | 2011-10-15 |
1316231012 | Radiation Oncology of Iowa, PC | Radiology | 350 North Grandview Avenue, Dubuque, IA 52001 | 2011-05-31 |
Find all providers in zip 52001 |
Taxonomy Code | 2085R0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Radiation Oncology |
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316231012 | Radiation Oncology of Iowa, PC | Radiology | 350 North Grandview Avenue, Dubuque, IA 52001 | 2011-05-31 |
1396873725 | Thomas Charles Lally | Radiology | 3123 Pasadena Ct, Unit 39, Dubuque, IA 52001-0846 | 2007-02-28 |
1932346525 | Aruna Turaka | Radiology | 350 N Grandview Ave, Dubuque, IA 52001-6388 | 2009-01-19 |
1336311349 | Edward Francis Miles | Radiology | 1000 Langworthy St, Dubuque, IA 52001-7365 | 2008-03-31 |
1306869417 | Won Sam Yi | Radiology | 350 N Grandview Ave, Dubuque, IA 52001-6388 | 2006-07-26 |
1669424958 | Radiation Oncology Services of Dubuque PC | Radiology | 350 N Grandview Ave, Wendt Cancer Center, Dubuque, IA 52001-6388 | 2006-05-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841731130 | Calvin Lewis | Radiology | 200 Hawkins Dr Dept of Radiation Oncology, Iowa City, IA 52242-1009 | 2017-03-20 |
1861871105 | Samuel Schroeder | Radiology | 1221 Pleasant St Ste A100, Des Moines, IA 50309-1428 | 2015-05-19 |
1043605140 | Nicholas Basil Loudas | Radiology | 202 10th St Se Ste 195, Cedar Rapids, IA 52403-2433 | 2015-04-06 |
1659560589 | Wyman Yap Lee | Radiology | 1315 W Agency Rd, West Burlington, IA 52655-1654 | 2007-10-16 |
1477602654 | Terrence J Allen | Radiology | 1900 Superior St, Webster City, IA 50595-3146 | 2007-01-09 |
1811940356 | Radiation Oncology of Cedar Rapids PC | Radiology | 603 10th St Se, Cedar Rapids, IA 52403-1208 | 2006-05-18 |
1871565226 | Farida Rajput | Radiology | 1351 E Kimberly Rd, Ste 200, Bettendorf, IA 52722 | 2006-02-01 |
1285604470 | Cassandra S Foens | Radiology | 200 E Ridgeway Ave, Waterloo, IA 50702-5060 | 2006-01-23 |
1588649396 | Gregory D Naden | Radiology | 230 Nebraska St, Sioux City, IA 51101-1733 | 2005-12-14 |
1699762369 | Thomas J Stoffel | Radiology | 1401 W Central Park Ave, Davenport, IA 52804-1707 | 2005-09-28 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.