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Individual

SREENANDH KRISHNAGOPALAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3288 MOANALUA RD, HONOLULU, HI 96819-1469
(808) 432-0000
Mailing address
3288 MOANALUA RD, HONOLULU, HI 96819-1469
(808) 432-0000

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD10641
HI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
MD10641
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
25227321
HI
05
25227322
HI
05
25227323
HI
Enumeration date
05/27/2006
Last updated
05/07/2021
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