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Individual

DR. SHYAM KRISHNAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
201 N WASHINGTON ST, KAISER PERMANENTE FALLS CHURCH MEDICAL CENTER, FALLS CHURCH, VA 22046-4518
(703) 237-4000
Mailing address
2101 E JEFFERSON ST, KAISER PERMANENTE MEDICARE ENROLLMENT, ROCKVILLE, MD 20852-4908
(301) 816-2424

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
0101056988
VA
2086S0129X
Vascular Surgery Physician
D68760
MD
2086S0129X
Vascular Surgery Physician
MD038935
DC

Other

Enumeration date
08/31/2006
Last updated
06/14/2021
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