Individual
DR. PHARI KRISHNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1401 S CALIFORNIA AVE, CHICAGO, IL 60608
(773) 565-3200
(773) 522-6490
Mailing address
1401 S CALIFORNIA AVE, CHICAGO, IL 60608-1858
(773) 565-3200
(773) 522-6490
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
036127424
IL
207T00000X
Neurological Surgery Physician
31366
OK
207T00000X
Neurological Surgery Physician
FE00047329
WA
390200000X
Student in an Organized Health Care Education/Training Program
036127
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FE00047329
PHYCIAN LIMITED LICENSE
WA
Enumeration date
01/03/2007
Last updated
03/05/2019
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