SIVASANKARA R KONALA

WENTZVILLE, MO
NPI1538104229
Other NameSIVA SANKARA R KONALA
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: MO  108398)
Additional Taxonomies207P00000X Emergency Medicine
(Licence: MO  1083988)
Enumeration Date2006-06-18
Last Update Date2019-05-21
Business Address
Dr. SIVASANKARA R KONALA MD
1111 W PEARCE BLVD
WENTZVILLE, MO 63385-1020
Phone number: 636-887-4288
Mailing Address
Dr. SIVASANKARA R KONALA MD
200 CORPORATE BLVD
LAFAYETTE, LA 70508-3870
Phone number: 800-893-9698