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
1	2084P0800X	Psychiatry Physician	T0541	TX

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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