Individual
DR. SHANTI KRISHNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
440 EAST MARSHALL STREET, THIRD FLOOR NORTH. SUITE 300, WEST CHESTER, PA 19380
(610) 436-8611
(610) 436-1193
Mailing address
440 EAST MARSHALL STREET, THIRD FLOOR NORTH. SUITE 300, WEST CHESTER, PA 19380
(610) 436-8611
(610) 436-1193
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
25-MA-05432500
NJ
208000000X
Pediatrics Physician
Primary
MD-042214-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001279632
—
PA
Enumeration date
07/24/2006
Last updated
03/27/2012
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