MEDICARE: MS. VARSHAA KONERU M.B.B.S

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program
2	2085R0202X	Diagnostic Radiology Physician	102773	GA

General Provider Information

NPI Number	:	1386132421
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. VARSHAA KONERU M.B.B.S

Provider Business Mailing Address
First Line	:	EMORY UNIVERSITY HOSPITAL MIDTOWN
Second Line	:	550 PEACHTREE ST, NE, 19TH FLOOR, STE 1950
City	:	ATLANTA
State	:	GA
Zip	:	30308
Country	:	US
Telephone Number	:	404-686-4411
Fax Number	:

Provider Business Practice Location Address
First Line	:	EMORY UNIVERSITY HOSPITAL MIDTOWN
Second Line	:	550 PEACHTREE ST, NE, 19TH FLOOR, STE 1950
City	:	ATLANTA
State	:	GA
Zip	:	30308
Country	:	US
Telephone Number	:	404-686-4411
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/24/2018
Last Update Date	:	07/29/2025

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