Provider Demographics
NPI:1215434139
Name:KONANA, MONISHA
Entity type:Individual
Prefix:
First Name:MONISHA
Middle Name:
Last Name:KONANA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7859 WALNUT HILL LN STE 310
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-5615
Mailing Address - Country:US
Mailing Address - Phone:877-504-8504
Mailing Address - Fax:855-420-6402
Practice Address - Street 1:7859 WALNUT HILL LN STE 310
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-5615
Practice Address - Country:US
Practice Address - Phone:775-048-5048
Practice Address - Fax:855-420-6402
Is Sole Proprietor?:No
Enumeration Date:2018-04-07
Last Update Date:2022-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXT05412084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry