Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOHN JOSEPH KONIKKARA, MD
Active Sole ProprietorDR. JOHN JOSEPH KONIKKARA, MD is a Sleep Medicine (Psychiatry) healthcare provider located in LONGVIEW, Washington. NPI 1962664011 is currently active in the NPPES registry. Verify at CMS.
Sleep Medicine (Psychiatry) · LONGVIEW, WA
Registration Details
- NPI Number
- 1962664011
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 30, 2008 (18.156864542633 yrs)
- Last Updated
- Apr 10, 2017
- Licenses
-
MD60704069 (WA)MD60704069 (WA)MD60704069 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1615 DELAWARE STLONGVIEW, WA, 986322367Browse WA providers · Browse ZIP 98632
- Phone
- 3604147800
- Primary Specialty
-
Sleep Medicine (Psychiatry)
2084S0012X
- Additional Specialty
- Neurology
- Additional Specialty
- Sleep Medicine (Psychiatry)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.