Individual
SURAJ KRISHNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
800 STANTON L YOUNG BLVD DEPT OF, OKLAHOMA CITY, OK 73104-5018
(405) 271-4742
Mailing address
800 STANTON L YOUNG BLVD DEPT OF, OKLAHOMA CITY, OK 73104-5018
(405) 271-4742
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
43040
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/30/2021
Last updated
05/13/2024
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