Individual
KRISHNA SUDHIR AYYAGARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7950 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4140
(260) 432-2297
(260) 479-2950
Mailing address
PO BOX 2129, ODESSA, TX 79760-2129
(432) 640-2408
(432) 640-4606
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
01078603A
IN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
R4185
TX
Other
Enumeration date
05/30/2012
Last updated
09/23/2020
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