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Individual
DR. KRISHNA VIJAY PERSAUD
Active
Individual
DR. KRISHNA VIJAY PERSAUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
205585
NY
207R00000X
Internal Medicine Physician
Primary
205585
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010000058
BLUE CHOICE IM
NY
05
—
01535859
—
NY
01
—
030000058
BLUE CHOICE ALLERGY
NY
01
—
102914AA
PREFERRED CARE ALLERGY
NY
01
—
102914BJ
PREFERRED CARE IM
NY
Enumeration date
04/11/2006
Last updated
07/05/2023
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