Provider Demographics
NPI:1760526495
Name:KONERU, HIMABINDU (MD)
Entity Type:Individual
Prefix:DR
First Name:HIMABINDU
Middle Name:
Last Name:KONERU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:HIMABINDU
Other - Middle Name:
Other - Last Name:KORLIPARA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:14 FOX HUNT CIR
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH MEETING
Mailing Address - State:PA
Mailing Address - Zip Code:19462-1428
Mailing Address - Country:US
Mailing Address - Phone:610-567-0937
Mailing Address - Fax:610-952-7039
Practice Address - Street 1:512 TOWNSHIP LINE RD
Practice Address - Street 2:
Practice Address - City:PLYMOUTH MEETING
Practice Address - State:PA
Practice Address - Zip Code:19462-1001
Practice Address - Country:US
Practice Address - Phone:610-825-4440
Practice Address - Fax:610-825-2119
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD073609L2084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Not Answered2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0914180Medicaid
PA0914180Medicaid