Individual
DR. SANDEEP KRISHNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11 NEVINS ST SUITE 406, SEMC - DIGESTIVE DISEASE CENTER, BRIGHTON, MA 02135
(617) 562-5432
(617) 789-5049
Mailing address
BMCHS PROVIDER ENROLLMENT, 960 MASSACHUSETTS AVE FLR 2, BOSTON, MA 02118
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
241159
MA
207RG0100X
Gastroenterology Physician
Primary
246787
MA
Other
Enumeration date
05/16/2008
Last updated
03/12/2025
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