Individual
KRISHNA ATHOTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
234 GOODMAN ST, CINCINNATI, OH 45219-2364
(513) 475-8787
(513) 475-7348
Mailing address
3200 BURNET AVE, 3 SOUTH CREDENTIALING, CINCINNATI, OH 45229-3019
(513) 475-8787
(513) 475-7348
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
35090845
OH
208600000X
Surgery Physician
4301078386
MI
2086S0102X
Surgical Critical Care Physician
Primary
35090845
OH
2086S0127X
Trauma Surgery Physician
35090845
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200908710
—
IN
05
—
2811229
—
OH
05
—
7100059370
—
KY
Enumeration date
05/18/2007
Last updated
01/08/2015
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