Kanagarla, Sreekanth

Kanagarla, Sreekanth is an individual health care provider with primary practice located at 2614 State St , East Saint Louis IL 62205-2325. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Kanagarla, Sreekanth can be contacted via phone (270) 243-0311.

Contact Information

Primary practice address
2614 State St East Saint Louis IL 62205-2325
Phone: (270) 243-0311
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / General Practice 1223G0001X 019.028385 Illinois

Profile Details

NPI number 1043531627
LBN Legal business name Kanagarla, Sreekanth
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2010
Last updated Mar 11th, 2012 - about 13 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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