Individual
MAHESH K KRISHNAIAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
240 WILLOUGHBY ST, 2ND FLOOR, BROOKLYN, NY 11201-5465
(718) 250-6915
(718) 250-6489
Mailing address
2080 OCEAN AVE, BROOKLYN, NY 11230-7359
(718) 250-6915
(718) 250-6489
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
222326
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02277934
—
NY
Enumeration date
05/26/2006
Last updated
03/24/2021
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