Individual
DR. SREENIVASA S JONNALAGADDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4321 WASHINGTON ST STE 5100, KANSAS CITY, MO 64111-5933
(913) 491-9100
(913) 491-9135
Mailing address
901 E 104TH ST, MAILSTOP 400, KANSAS CITY, MO 64131
(816) 599-9499
(816) 932-9670
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
0435695
KS
207RG0100X
Gastroenterology Physician
Primary
101430
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207983420
—
MO
Enumeration date
07/14/2006
Last updated
11/08/2017
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