| Srilatha Konduri Gannavaram, MBBS | |
|
20 Ne Saint Lukes Blvd, Ste. 350, Lees Summit, MO 64086-6001 | |
| (816) 347-5600 | |
| (816) 347-5674 |
| Full Name | Srilatha Konduri Gannavaram |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 28 Years |
| Location | 20 Ne Saint Lukes Blvd, Lees Summit, Missouri |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467666834 | NPI | - | NPPES |
| 1467666834 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 0436784 (Kansas) | Primary |
| 207R00000X | Internal Medicine | 2007023617 (Missouri) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Luke's East Hospital | Lees summit, MO | Hospital |
| St Lukes Hospital Of Kansas City | Kansas city, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Saint Lukes Physician Group Inc | 3577476894 | 1094 |
| Saint Lukes Physician Group Inc | 3577476894 | 1094 |
| Entity Name | Saint Lukes Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093263717 PECOS PAC ID: 3577476894 Enrollment ID: O20031111000818 |
| Mailing Address | Practice Location Address |
|---|---|
| Srilatha Konduri Gannavaram, MBBS 901 E. 104th St, Mailstop 400n, Kansas City, MO 64131 Ph: (816) 502-7104 | Srilatha Konduri Gannavaram, MBBS 20 Ne Saint Lukes Blvd, Ste. 350, Lees Summit, MO 64086-6001 Ph: (816) 347-5600 |
Jill Marie Huded, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 100 Ne Saint Lukes Blvd, Lees Summit, MO 64086 Phone: 816-932-0340 Fax: 816-932-3148 | |
Dr. Krishan Kant Kataria, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 100 Ne Saint Lukes Blvd, Lees Summit, MO 64086 Phone: 816-932-0340 | |
Patrick Jason Egberuare, Hospitalist Medicare: May Accept Medicare Assignments Practice Location: 100 Ne Saint Lukes Blvd, Lees Summit, MO 64086 Phone: 816-932-0340 | |
Ahmed Sidiya Taleb Abdellah, M.D Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 100 Ne Saint Lukes Blvd, Lees Summit, MO 64086 Phone: 816-932-0340 | |
Roshani R Desai, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 100 Ne Saint Lukes Blvd, Lees Summit, MO 64086 Phone: 816-932-0340 Fax: 816-932-3148 | |
Heather Cristin Toney, D.O Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 290 Ne Tudor Rd, Lees Summit, MO 64086 Phone: 816-524-5522 Fax: 816-524-4798 |