Individual
VENKATESAN KRISHNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2142 N COVE BLVD, 3RD FLOOR, TOLEDO, OH 43606-3895
(419) 291-4225
(419) 479-6193
Mailing address
PO BOX 12498, TOLEDO, OH 43606-0098
(419) 291-4225
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
42125
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000129745
ANTHEM
OH
05
—
0379700
—
OH
01
—
10256
PARAMOUNT
OH
01
—
2031646
AETNA
OH
01
—
4700073
UNITED HEALTHCARE
OH
05
—
9525886
—
MI
Enumeration date
07/07/2005
Last updated
08/11/2010
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