Individual
DR. KRISHNAN BABU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
100 WASON AVE, SIUTE 200, SPRINGFIELD, MA 01107-1381
(413) 733-9666
(413) 750-3432
Mailing address
PO BOX 70266, SPRINGFIELD, MA 01107-0266
(413) 733-9666
(413) 750-3432
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
039706
CT
207RN0300X
Nephrology Physician
Primary
210555
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0160121
—
MA
Enumeration date
01/17/2006
Last updated
02/06/2015
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