Individual
KRISHNA MURTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
685 VAIL ST, PRINCETON, IN 47670-9510
(812) 386-6560
(812) 386-6698
Mailing address
PO BOX 1510, EVANSVILLE, IN 47706-1510
(812) 386-6560
(812) 385-5015
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01031888A
IN
207RP1001X
Pulmonary Disease Physician
01031888A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000042157
BCBS PIN
IN
05
—
100122290
—
IN
Enumeration date
05/31/2005
Last updated
09/29/2016
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