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1376569673 NPI number — SREENIVASA S JONNALAGADDA MD

NPI Number: 1376569673
Health Care Provider/Practitioner: SREENIVASA S JONNALAGADDA MD

Information about “1376569673” NPI (SREENIVASA S JONNALAGADDA MD) exists in 1376569673 in HTML format HTML  |  1376569673 in plain Text format TXT  |  1376569673 in PDF (Portable Document Format) PDF  |  1376569673 in an XML format XML  formats.

NPI Number : 1376569673 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1376569673",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "JONNALAGADDA",
    "FirstName": "SREENIVASA",
    "MiddleName": "S",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "901 E 104TH ST",
    "SecondLineMailingAddress": "MAILSTOP 400",
    "MailingAddressCityName": "KANSAS CITY",
    "MailingAddressStateName": "MO",
    "MailingAddressPostalCode": "64131",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "816-599-9499",
    "MailingAddressFaxNumber": "816-932-9670",
    "FirstLinePracticeLocationAddress": "4321 WASHINGTON ST STE 5100",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "KANSAS CITY",
    "PracticeLocationAddressStateName": "MO",
    "PracticeLocationAddressPostalCode": "64111-5933",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "913-491-9100",
    "PracticeLocationAddressFaxNumber": "913-491-9135",
    "EnumerationDate": "07/14/2006",
    "LastUpdateDate": "11/08/2017",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207RG0100X",
          "TaxonomyName": "Gastroenterology Physician",
          "LicenseNumber": "0435695",
          "LicenseNumberStateCode": "KS",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207RG0100X",
          "TaxonomyName": "Gastroenterology Physician",
          "LicenseNumber": "101430",
          "LicenseNumberStateCode": "MO",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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