Individual
GEETHA PRIYDARSHINI KRISHNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
N2950 STATE ROAD 67, LAKE GENEVA, WI 53147-2655
(262) 245-0535
(262) 245-2248
Mailing address
N2950 STATE ROAD 67, LAKE GENEVA, WI 53147-2655
(262) 245-0535
(262) 245-2248
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036.128889
IL
207P00000X
Emergency Medicine Physician
Primary
321104
LA
207P00000X
Emergency Medicine Physician
60129-20
WI
207P00000X
Emergency Medicine Physician
62300
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036128889 2
—
IL
01
—
1699067132
BCBSWI
WI
05
—
1699067132
—
WI
01
—
KRISHGEE
MERCYCARE INSURANCE
WI
Enumeration date
05/03/2011
Last updated
06/12/2023
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