Gannavaram, Srilatha Konduri
Gannavaram, Srilatha Konduri is an sole proprietor health care provider with primary practice located at 20 Ne Saint Lukes Blvd Ste. 350, Lees Summit MO 64086-6001. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Gannavaram, Srilatha Konduri can be contacted via phone (816) 347-5600.Contact Information
Primary practice address
20 Ne Saint Lukes Blvd Ste. 350
Lees Summit MO 64086-6001
Phone: (816) 347-5600
Fax: (816) 347-5674
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 0436784 | Kansas |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2007023617 | Missouri |
Profile Details
| NPI number | 1467666834 |
|---|---|
| LBN Legal business name | Gannavaram, Srilatha Konduri |
| Credentials | MBBS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 9th, 2007 |
| Last updated | Feb 28th, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467666834 | NPPES |
| Missouri | MEDICAID | 1467666834 |
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