Kanungo, Sriraj T.

Kanungo, Sriraj T. is an individual health care provider with primary practice located at 6812 State Route 162 Ste 121 , Maryville IL 62062-8586. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Kanungo, Sriraj T. can be contacted via phone (618) 391-5690.

Contact Information

Primary practice address
6812 State Route 162 Ste 121 Maryville IL 62062-8586
Fax: (618) 391-5691
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 2005018762 Missouri

Profile Details

NPI number 1548355621
LBN Legal business name Kanungo, Sriraj T.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Aug 28th, 2024 - about 2 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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