Individual
DR. RAVI S KRISHNAN
Active
Individual
DR. RAVI S KRISHNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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