IndividualActive
John Joseph Konikkara, MD
NPI 1962664011 · Sleep Medicine (Psychiatry & Neurology) Physician · Longview, WA
Provider details
- NPI number
- 1962664011
- Entity type
- Individual
- Primary specialty
- Sleep Medicine (Psychiatry & Neurology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- MD60704069 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1615 Delaware St
Longview, WA 98632-2367
Phone: (360) 414-7800
Approximate (ZIP-level) locationGet directions
Mailing address
8157 Southwestern Blvd
Dallas, TX 75206-2019
Registry dates
- Enumerated
- 2008-06-30
- Last updated
- 2017-04-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.