Individual
SUNDER KRISHNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14918 CANTRELL RD, LITTLE ROCK, AR 72223-4248
(501) 975-5005
(501) 975-5008
Mailing address
PO BOX 34113, LITTLE ROCK, AR 72203-4113
(501) 975-5005
(501) 975-5008
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
56788
TN
208VP0014X
Interventional Pain Medicine Physician
Primary
E2047
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136646001
—
AR
01
—
5C982
MCR & BCBS GROUP #
AR
Enumeration date
07/01/2005
Last updated
03/22/2018
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