Provider Demographics
NPI:1053500074
Name:KONATALAPALLI, RUKMINI MADHURI (MD)
Entity Type:Individual
Prefix:
First Name:RUKMINI
Middle Name:MADHURI
Last Name:KONATALAPALLI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:RUKMINI
Other - Middle Name:MADHURI
Other - Last Name:BHANDARU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:7300 HANOVER DRIVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-2247
Mailing Address - Country:US
Mailing Address - Phone:301-345-5600
Mailing Address - Fax:301-345-7715
Practice Address - Street 1:7300 HANOVER DRIVE
Practice Address - Street 2:SUITE 201
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-2247
Practice Address - Country:US
Practice Address - Phone:301-345-5600
Practice Address - Fax:301-345-7715
Is Sole Proprietor?:No
Enumeration Date:2007-10-16
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0066339207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology