Individual
CHANDRA KUMAR KRISHNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
44405 WOODWARD AVE, PONTIAC, MI 48341-5023
(248) 858-3000
Mailing address
681 E FOX HILLS DR, BLOOMFIELD HILLS, MI 48304-1342
(732) 666-2904
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301103775
MI
Other
Enumeration date
07/02/2013
Last updated
07/02/2013
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