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SUDHA SRIVALLI KONAKANCHI MD
NPI 1134970643
Student in an Organized Health Care Education/Training Program in Conway, AR

Active since April 01, 2024PECOS Enrolled
2302 COLLEGE AVE, CONWAY, AR 72034(501) 329-3831 Get Directions Write a Review

NPPES record last updated: April 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sudha Srivalli Konakanchi Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUDHA SRIVALLI KONAKANCHI MD (NPI 1134970643) is an individual student in an organized health care education/training program in Conway, Arkansas and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134970643
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSUDHA SRIVALLI KONAKANCHICredential: MD
Location Address2302 COLLEGE AVEConway, AR 72034-6297
Mailing Address2302 College AveConway, AR 72034-6297 · (501) 329-3831
Phone(501) 329-3831
Sole ProprietorNo
Enumeration DateApril 1, 2024
NPPES CertifiedApril 1, 2024
✔ NPI 1134970643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2302 COLLEGE AVE, Conway, AR 72034
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sudha Srivalli Konakanchi Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRISTINA ERBACH PHARM.D.
Pharmacist
2302 COLLEGE AVE
CONWAY, AR 72034
Faulkner County (501) 513-5152
JUSTIN LANE ALEXANDER CRNA
Nurse Anesthetist, Certified Registered
2302 COLLEGE AVE
CONWAY, AR 72034
Faulkner County (501) 329-3831
DR. HINA SATTAR MD
Student in an Organized Health Care Education/Training Program
2302 COLLEGE AVE
CONWAY, AR 72034
Faulkner County (903) 293-6377
DR. JESSE E CLANTON M.D.
Emergency Medicine
2302 COLLEGE AVE
CONWAY, AR 72034
Faulkner County (501) 513-5793
BAILEY BASS
Nurse Anesthetist, Certified Registered
2302 COLLEGE AVE
CONWAY, AR 72034
Faulkner County (501) 329-3831
RYAN BROWN PHARMD
Pharmacist
2302 COLLEGE AVE
CONWAY, AR 72034
Faulkner County (501) 513-5152
DR. CODY STARK ROGERS MD
Family Medicine
2302 COLLEGE AVE
CONWAY, AR 72034
Faulkner County (501) 329-3831
FAULKNER EMERGENCY GROUP, PLLC
Emergency Medicine
2302 COLLEGE AVE
CONWAY, AR 72034
Faulkner County (501) 329-3831

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sudha Srivalli Konakanchi's NPI number?

The NPI number for Sudha Srivalli Konakanchi is 1134970643. It was assigned to this individual provider in the NPPES registry on April 1, 2024.

Where is Sudha Srivalli Konakanchi located?

Sudha Srivalli Konakanchi practices at 2302 College Ave, Conway, AR 72034. The listed phone number is (501) 329-3831.

What is Sudha Srivalli Konakanchi's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Sudha Srivalli Konakanchi enrolled in Medicare?

Yes. Sudha Srivalli Konakanchi is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sudha Srivalli Konakanchi was last updated on April 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.