Individual
DR. KRISHNASWAMY CHANDRASEKARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
36138
AZ
207RC0000X
Cardiovascular Disease Physician
Primary
41591
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060055580
RAILROAD MEDICARE
MN
05
—
210331
—
AZ
05
—
726167500
—
MN
01
—
P00413294
RAILROAD MEDICARE
AZ
Enumeration date
01/17/2006
Last updated
08/12/2020
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