John Joseph Konikkara in Longview - Psychiatry
John Joseph Konikkara - NPI 1962664011
John Joseph Konikkara is a Psychiatry in Longview, Washington. John Joseph Konikkara practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for John Joseph Konikkara is 1962664011. The last update date is 2017-04-10.
John Joseph Konikkara's current location address is 1615 Delaware St, Longview, Washington. You can contact this provider via phone number 3604147800. The mailing address for John Joseph Konikkara is 1615 Delaware St, Longview, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Joseph Konikkara |
|---|---|
| Address | 1615 Delaware St, Longview, Washington |
| Phone Number | 3604147800 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1962664011 |
|---|---|
| Provider Enumeration Date | 2008-06-30 |
| Last Updated Date | 2017-04-10 |
Provider Mailing Address Detail
| Address | 1615 Delaware St |
|---|---|
| City | Longview |
| State | Washington (WA) |
| Post Code | 986322367 |
| Phone Number | 3604147800 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | MD60704069 |
|
Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2070508 | WA | -- |
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What is the unique identifier code issued to John Joseph Konikkara by the Centers for Medicare & Medicaid Services?
The John Joseph Konikkara has been assigned the NPI (National Provider Identifier) 1962664011. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of John Joseph Konikkara?
The John Joseph Konikkara is physically situated at 1615 Delaware St, in the city of Longview, state of WA, with the postal code 986322367.
What is John Joseph Konikkara's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The John Joseph Konikkara's specialized field of practice is Psychiatry, and the corresponding taxonomy code that categorizes this area of specialization is 2084P0800X.
When did the John Joseph Konikkara receive its 1962664011?
The John Joseph Konikkara was issued its 1962664011 on 2008-06-30, which is the date when the organization was assigned this unique identifier.
When was the John Joseph Konikkara's information last updated?
The John Joseph Konikkara's information was last updated on 2017-04-10.
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