Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Maneesh Koneru

Individual provider Surgery Physician · NPI 1003566456

Maneesh Koneru is a Surgery Physician in Charlottesville, Virginia. Works from 2 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2022
Specialties on file
2

Practice location Address checks out

1215 Lee St
Charlottesville, VA 22908-0816
Phone: (434) 924-2150
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 611 W Park St, Urbana, IL 61801-2529 — (217) 383-3311

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Surgery Physician Taxonomy 208600000X · Licence 125.081704 (IL)

Record details

NPI number1003566456
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 28, 2022
Last updated in NPPESMay 9, 2023
Certification dateMay 9, 2023
Mailing address1215 Lee St Box 800719, Charlottesville, VA 22908-0816

Other providers in Charlottesville