| 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 |
|---|---|
| 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 |
|---|---|
| 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 |