Jonnalagadda, Sreenivasa S

Jonnalagadda, Sreenivasa S is an individual health care provider with primary practice located at 4321 Washington St Ste 5100 , Kansas City MO 64111-5933. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Jonnalagadda, Sreenivasa S can be contacted via phone (913) 491-9100.

Contact Information

Primary practice address
4321 Washington St Ste 5100 Kansas City MO 64111-5933
Fax: (913) 491-9135
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 0435695 Kansas
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 101430 Missouri

Profile Details

NPI number 1376569673
LBN Legal business name Jonnalagadda, Sreenivasa S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Nov 8th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376569673 NPPES
Missouri MEDICAID 207983420

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