Individual
SHAKUNTHALA KRISHNAMURTHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5839 STONE LAKE DR, CENTERVILLE, OH 45429
(937) 438-8645
Mailing address
5839 STONE LAKE DR, CENTERVILLE, OH 45429
(937) 438-8645
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35068097
OH
208000000X
Pediatrics Physician
4301062202
MI
208000000X
Pediatrics Physician
—
IL
Other
Enumeration date
08/29/2006
Last updated
07/08/2007
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