Individual
DR. VENKATRAM KRISHNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 CHILDRENS WAY # 105, LITTLE ROCK, AR 72202-3500
(501) 686-6912
Mailing address
4301 W MARKHAM ST # 783, LITTLE ROCK, AR 72205-7101
(501) 526-5601
(501) 526-5148
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
E-17324
AR
2085R0202X
Diagnostic Radiology Physician
E-17324
AR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/29/2022
Last updated
07/03/2024
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