Individual
DR. INDIRA KRISHNARAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
735 NILES CORTLAND RD SE, WARREN, OH 44484-2475
(330) 856-6365
(330) 609-5088
Mailing address
735 NILES CORTLAND RD SE, WARREN, OH 44484-2475
(330) 856-6365
(330) 609-5088
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
35048616
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0633050
—
OH
Enumeration date
09/22/2005
Last updated
10/08/2009
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