Organization
N.B. KRISHNAPPA M.D. F.A.A.P. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAGU BORIAH KRISHNAPPA M.D. (PRESIDENT)
(724) 864-2711
Entity
Organization
Contact information
Practice address
111 BLACKS HILL RD, IRWIN, PA 15642
(724) 864-2711
(724) 864-6536
Mailing address
111 BLACKS HILL RD, IRWIN, PA 15642
(724) 864-2711
(724) 864-6536
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD 018139E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007244140002
—
PA
Enumeration date
07/07/2006
Last updated
08/22/2020
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