Individual
MAHESH KRISHNAMURTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
250 S 21ST ST, #23, EASTON, PA 18042-3851
(610) 250-4540
(610) 250-4774
Mailing address
PO BOX 708610, SANDY, UT 84070-8610
(800) 846-5313
(801) 352-9502
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD426784
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101483129 0001
—
PA
01
—
2449108000
BCBS
PA
01
—
P00252667
RAIL ROAD MEDICARE
MO
Enumeration date
03/28/2006
Last updated
05/29/2008
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