Individual
SANJITH PRAHAS KRISHNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
625 19TH ST S, BIRMINGHAM, AL 35233-1900
(205) 975-7104
Mailing address
625 19TH ST S, BIRMINGHAM, AL 35233-1900
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/16/2020
Last updated
03/10/2024
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