Organization
DODDANNA KRISHNA M D A PROFESSIONAL CORPORATION
Active
Organization
DODDANNA KRISHNA M D A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DODDANNA KRISHNA M D (PRESIDENT/OWNER)
(661) 726-6600
Entity
Organization
Contact information
Practice address
44215 15TH STREET WEST, SUITE 211, LANCASTER, CA 93534
(661) 726-6600
(661) 726-6603
Mailing address
44215 15TH STREET WEST, SUITE 211, LANCASTER, CA 93534
(661) 726-6600
(661) 726-6603
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
A43598
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0089590
—
CA
01
—
W14894
MEDICARE PTAN
CA
Enumeration date
09/27/2006
Last updated
05/23/2024
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