Individual
SHANKER KRISHNAMURTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1985 CROMPOND RD, MOUNT KISCO MEDICAL GROUP PC, CORTLANDT MANOR, NY 10567-4146
(914) 739-2121
(914) 739-2185
Mailing address
1985 CROMPOND RD, CORTLANDT MANOR, NY 10567-4146
(914) 739-2121
(914) 739-2185
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
1451061
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00751015
—
NY
01
—
0D5295
HEALTHNET
NY
01
—
200011443
RAILROAD MEDICARE
NY
01
—
49157
AETNA USHEALTHCARE
NY
01
—
965490
MVP
NY
01
—
WS642
OXFORD
NY
Enumeration date
05/25/2006
Last updated
06/04/2010
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