Organization
DR KRISHNAMURTHY MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEELA KRISHNAMURTHY M.D. (OWNER/PRESIDENT)
(301) 306-1611
Entity
Organization
Contact information
Practice address
9470 ANNAPOLIS RD, SUITE 301, LANHAM, MD 20706-3025
(301) 306-1611
(301) 306-4567
Mailing address
9470 ANNAPOLIS RD, SUITE 301, LANHAM, MD 20706-3025
(301) 306-1611
(301) 306-4567
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
B95104
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001270446-002
UNITED HEALTHCARE
—
01
—
05109
AMERICAID
—
01
—
4119-0001
BLUE CROSS BLUE SHIELD-BLUE CHOICE
MD
01
—
41644701
CARE 1ST
MD
01
—
854814
OPTIMUM CHOICE
MD
01
—
90645
AETNA
MD
01
—
AS81010000001
CIGNA
MD
Enumeration date
04/27/2010
Last updated
06/16/2010
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