Individual
KRISHNAPRIYA R ANCHALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
14519 DETROIT AVE, LAKEWOOD, OH 44107-4316
(216) 529-7000
Mailing address
3205 MEADOWBROOK BLVD, CLEVELAND HTS, OH 44118-2952
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
35-079639
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2271858
—
OH
Enumeration date
03/19/2009
Last updated
03/19/2009
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