Individual
KYLASH KONANUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
7031 SW 62ND AVE, SOUTH MIAMI, FL 33143
(305) 284-7761
Mailing address
700 ACKERMAN RD STE 570, COLUMBUS, OH 43202-1579
(614) 293-8487
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036-148742
IL
207L00000X
Anesthesiology Physician
34.013155
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/30/2014
Last updated
04/25/2022
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