Organization
C KRISHNASWAMY MD PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANDRASHEKAR KRISHNASWAMY (MD)
(606) 487-7955
Entity
Organization
Contact information
Practice address
200 MEDICAL CENTER DR, SUITE 3P, HAZARD, KY 41701-9466
(606) 487-7955
Mailing address
PO BOX 120, HAZARD, KY 41702-0120
(606) 487-7955
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
37430
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000373082
ANTHEM BLUE CROSS
KY
05
—
64054380
—
KY
Enumeration date
10/30/2007
Last updated
05/01/2013
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