Individual
RISHI JONNALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 HOSPITAL DR, COLUMBIA, MO 65212-1702
(573) 884-2000
Mailing address
1 HOSPITAL DR, COLUMBIA, MO 65212-1000
(573) 884-2000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2024025390
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/21/2022
Last updated
06/27/2024
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