Individual
KRISHNAMANI CHINNASAMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1580 SKEET CLUB RD, HIGH POINT, NC 27265-9530
(336) 883-0029
Mailing address
645 N MAIN ST, HIGH POINT, NC 27260-5017
(336) 883-0029
(336) 883-0867
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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