Individual
DR. KRISHNA PRAHALAD SHANMUGAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3601 4TH ST, MS 6211, LUBBOCK, TX 79430-6211
(806) 743-2020
Mailing address
223 INDIANA AVE, APT 2314, LUBBOCK, TX 79415-3370
(979) 255-3738
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
BP30040315
TX
Other
Enumeration date
05/28/2010
Last updated
05/09/2015
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