Individual
DR. KALPANA ANANTHA KRISHNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1212 WALTER REED RD, FAYETTEVILLE, NC 28304-4440
(910) 488-6337
(910) 488-1384
Mailing address
1212 WALTER REED RD, FAYETTEVILLE, NC 28304-4440
(910) 488-6337
(910) 488-1384
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
95000382
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110148824
MEDICARE RAILROAD
NC
01
—
50347
BLUE CROSS/BLUE SHIELD
NC
05
—
8950347
—
NC
Enumeration date
07/01/2006
Last updated
04/21/2016
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