Individual
BALAMURUGAN G KRISHNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901-3318
(573) 778-4760
Mailing address
1820 RENEE AVE, POPLAR BLUFF, MO 63901-2030
(573) 776-1270
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35.075327
OH
207R00000X
Internal Medicine Physician
4301067429
MI
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
35.075327
OH
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
4301067429
MI
208M00000X
Hospitalist Physician
Primary
35.075327
OH
Other
Enumeration date
09/14/2006
Last updated
12/16/2019
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