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Individual

DR. PRIYANKA BHAT KRISHNAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
23141 MOULTON PARKWAY STE 102, LAGUNA HILLS, CA 92653
(949) 916-9100
(949) 916-0091
Mailing address
23141 MOULTON PARKWAY STE 102, LAGUNA HILLS, CA 92653
(949) 916-9100
(949) 916-0091

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
2011020924
MO
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
A130175
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
008787800
FL
01
0821154
CIGNA
FL
05
1497940712
MO
01
14MJ4
FLORIDA BLUE
FL
01
9024702
AETNA
FL
01
P01000140
RAIL ROAD MEDICARE
MO
01
P01164119
RR MEDICARE GROUP DT5990
FL
Enumeration date
09/10/2007
Last updated
06/20/2018
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