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Individual
DR. TANGELLA V. KRISHNARAO
Active
Individual
DR. TANGELLA V. KRISHNARAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036-108746
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036108746 1
—
IL
01
—
279500
MEDICARE GROUP
—
01
—
P00010307
RAILROAD MEDICARE
—
Enumeration date
08/08/2006
Last updated
01/06/2022
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