Individual
DR. RUBEN KRISHNANANTHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
MD00045187
WA
2085R0202X
Diagnostic Radiology Physician
MD00045187
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0356361
L&I-RADIA-REST OF WA
WA
01
—
0356365
L&I-SWEDISH RADIA
WA
01
—
0356366
L&I-EVERGREEN RADIA
WA
05
—
1021587
—
WA
Enumeration date
08/31/2006
Last updated
12/30/2025
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