Individual
DR. RAJU PRASAD KRISHNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
222 PEMBROKE DR, BUILDING C, HILTON HEAD ISLAND, SC 29926-6201
(843) 682-2345
(843) 682-2343
Mailing address
222 PEMBROKE DR, BUILDING C, HILTON HEAD ISLAND, SC 29926-6201
(843) 682-2345
(843) 682-2343
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
23153
SC
207L00000X
Anesthesiology Physician
282N0000X
WV
208VP0014X
Interventional Pain Medicine Physician
23153
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T73658
—
SC
Enumeration date
05/16/2006
Last updated
06/25/2021
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