Individual
MEERA KRISHNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
211 SAINT FRANCIS DR, CAPE GIRARDEAU, MO 63703-5049
(573) 331-5770
(573) 331-3974
Mailing address
PO BOX 801143, KANSAS CITY, MO 64180-1143
(573) 331-5583
(573) 331-5079
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036082563
IL
207R00000X
Internal Medicine Physician
Primary
2011037090
MO
208000000X
Pediatrics Physician
2011037090
MO
208M00000X
Hospitalist Physician
036082563
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01621926
BLUE CROSS BLUE SHIELD
IL
01
—
P00285269
RAILROAD MEDICARE
IL
Enumeration date
09/12/2006
Last updated
02/18/2025
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