Individual
DR. RAVI S KRISHNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-8806
(206) 341-1910
Mailing address
PO BOX 24366, SEATTLE, WA 98124-0366
(206) 223-8806
(206) 341-1910
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
35086138
OH
207ND0101X
MOHS-Micrographic Surgery Physician
MD60030875
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8891425
MEDICARE PTAN - KITSAP CO
WA
Enumeration date
05/23/2006
Last updated
08/25/2011
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