# KOUSIK KRISHNAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1225054505
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RC0000X | Cardiovascular Disease Physician | 036-107187 | IL | — |
| 207RC0000X | Cardiovascular Disease Physician | 036.107187 | IL | — |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | 036-107187 | IL | — |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | 036.107187 | IL | Yes |

## Other

- **Enumeration date:** 07/13/2006
- **Last updated:** 04/24/2025