Provider Demographics
NPI:1699911404
Name:MONIS, KANISHKA (MD)
Entity type:Individual
Prefix:DR
First Name:KANISHKA
Middle Name:
Last Name:MONIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8522 BROADWAY STE 216
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78217-6456
Mailing Address - Country:US
Mailing Address - Phone:210-874-5260
Mailing Address - Fax:210-864-4838
Practice Address - Street 1:5939 BABCOCK RD STE 112
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-2199
Practice Address - Country:US
Practice Address - Phone:210-874-5260
Practice Address - Fax:210-864-4838
Is Sole Proprietor?:No
Enumeration Date:2008-12-29
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN7845174400000X, 207L00000X, 207LP2900X, 208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No174400000XOther Service ProvidersSpecialist
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine