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NPI Code Detail

MEDICARE: MONISHA KONANA

MEDICARE: MONISHA KONANA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry PhysicianT0541TX

General Provider Information

NPI Number : 1215434139
Entity Type Code : Individual
Provider Name (Legal Business Name) : MONISHA KONANA
Provider Business Mailing Address
First Line : 7859 WALNUT HILL LN STE 310
Second Line :
City : DALLAS
State : TX
Zip : 75230-5615
Country : US
Telephone Number : 877-504-8504
Fax Number : 855-420-6402
Provider Business Practice Location Address
First Line : 7859 WALNUT HILL LN STE 310
Second Line :
City : DALLAS
State : TX
Zip : 75230-5615
Country : US
Telephone Number : 775-048-5048
Fax Number : 855-420-6402
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2018
Last Update Date : 07/25/2022

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Directions to “ MONISHA KONANA ” Practice Location

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