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Individual

ZIPPORAH KRISHNASAMI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-8908
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
21075
AL
207RN0300X
Nephrology Physician
Primary
36406
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009921585
AL
05
009958275
AL
01
051515800
BLUE CROSS
AL
01
051515801
BLUE CROSS
AL
01
051523368
BLUE CROSS
AL
05
051553525
AL
01
P000010241
RAILROAD MEDICARE
AL
Enumeration date
06/28/2006
Last updated
10/14/2020
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