Individual
AISHWARYA KRISHNAIAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
501 SOUTH WASHINGTON AVE., SCRANTON, PA 18505
(570) 591-5153
Mailing address
501 SOUTH WASHINGTON AVE., SCRANTON, PA 18505
(570) 591-5153
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
MT223453
PA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/04/2021
Last updated
10/05/2021
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