Provider Demographics
NPI:1710274188
Name:RAO, VEMULKONDA KONETI (MD)
Entity Type:Individual
Prefix:DR
First Name:VEMULKONDA
Middle Name:KONETI
Last Name:RAO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:V KONETI
Other - Middle Name:
Other - Last Name:RAO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:LCID NIAID NIH RM 11N234 ALPS UNIT BLDG 10
Mailing Address - Street 2:10, CENTER DRIVE
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20892-0001
Mailing Address - Country:US
Mailing Address - Phone:301-496-6502
Mailing Address - Fax:301-496-7383
Practice Address - Street 1:LCID NIAID NIH RM 11N234 BLDG 10
Practice Address - Street 2:10, CENTER DRIVE
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20892-0001
Practice Address - Country:US
Practice Address - Phone:301-496-6502
Practice Address - Fax:301-496-7383
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-06
Last Update Date:2012-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00600972080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology