Individual
DR. SATHISH KUMAR KRISHNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1550 E COUNTY LINE RD, INDIANAPOLIS, IN 46227-1000
(317) 497-6666
(317) 497-2533
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125060825
IL
207RP1001X
Pulmonary Disease Physician
Primary
01079560A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300014582
—
IN
01
—
P02078323
RR MEDICARE
IN
Enumeration date
07/07/2012
Last updated
10/23/2018
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