Individual
KRISHNAKANTHAN SASANKAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
193354
NY
208000000X
Pediatrics Physician
Primary
ME161851
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010157703
UNIVERA
NY
01
—
000523039005
BC/BS
NY
05
—
01439409
—
NY
01
—
040426002481
FIDELIS
NY
01
—
1209766
IHA
NY
01
—
143850DL
PREFERRED CARE
NY
Enumeration date
10/20/2005
Last updated
12/28/2023
Update your record
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