Individual
DR. KAMAKSHI KRISHNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
530 NEW BRUNSWICK AVE, PERTH AMBOY, NJ 08861-3654
(732) 442-3700
Mailing address
66 W GILBERT ST, TINTON FALLS, NJ 07701-4947
(732) 212-0060
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MA03401200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15298
AMERIGROUP
NJ
01
—
2273123000
AMERIHEALTH
NJ
01
—
60003536
HORIZON NJ HEALTH
NJ
05
—
7072805
—
NJ
01
—
P00105111
RAILROAD MEDICARE
NJ
Enumeration date
02/02/2007
Last updated
07/08/2007
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