Individual
KRISHNAMANI CHINNASAMY
Active
Individual
KRISHNAMANI CHINNASAMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2015-01642
NC
208VP0000X
Pain Medicine Physician
2015-01642
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497150114
—
NC
Enumeration date
10/23/2014
Last updated
07/19/2024
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