Organization
VASANTHI KRISHNA MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VASANTHI KRISHNA MD (CEO)
(916) 512-3356
Entity
Organization
Contact information
Practice address
1710 PRAIRIE CITY RD, SUITE NO: 120-125, FOLSOM, CA 95630-9592
(916) 512-3356
(916) 512-3322
Mailing address
1710 PRAIRIE CITY RD, SUITE NO: 120-125, FOLSOM, CA 95630-9592
(916) 512-3356
(916) 512-3322
Taxonomy
Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
Primary
A119222
CA
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
A119222
CA
Other
Enumeration date
02/14/2014
Last updated
12/12/2014
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