Individual
KRISHNA PRASAD SHANBHOGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
281 1ST AVE, NEW YORK, NY 10003-2925
(212) 844-8880
(212) 844-8881
Mailing address
660 1ST AVE FL 3, NEW YORK, NY 10016-3295
(212) 263-0232
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
270692
NY
2085R0202X
Diagnostic Radiology Physician
42885
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03633956
—
NY
05
—
200929201
—
TX
Enumeration date
02/11/2009
Last updated
08/30/2015
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