# DR. KRISHNA C MALINENI

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

## Provider details

- **NPI number:** 1639112303
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RC0000X | Cardiovascular Disease Physician | 01067505A | IN | — |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | 01067505A | IN | Yes |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | 036107040 | IL | — |

## Other

- **Enumeration date:** 06/13/2006
- **Last updated:** 06/14/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1316998578 | NPI GROUP PRACTICE | — |
| 01 | — | 1616378 | BCBS | IL |
| 01 | — | K40685 | MEDICARE PIN-LOCALITY 15 | IL |
| 01 | — | K40686 | MEDICARE PIN-LOCALITY 16 | IL |
| 01 | — | P00427560 | RRMC-LOCALITY 15 | IL |
| 01 | — | P00798870 | RR MEDICARE PTAN | IN |
| 01 | — | P01214659 | RR MEDICARE PTAN | IN |