Individual
DR. PRASHANT VASANTH KRISHNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5555 E BASELINE RD, MESA, AZ 85206-4709
(480) 393-0575
Mailing address
2920 N CASCADE AVE, 3RD FLOOR, COLORADO SPRINGS, CO 80907-6262
(719) 636-1201
(719) 636-1326
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
48094
CO
207RG0100X
Gastroenterology Physician
Primary
77572
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
66681235
—
CO
Enumeration date
05/22/2007
Last updated
06/30/2025
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