Individual
SANDEEP KRISHNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
613 23RD ST STE 230, ASHLAND, KY 41101-2868
(606) 324-4745
Mailing address
1828 PINE ST APT 1F, PHILADELPHIA, PA 19103-6649
(573) 746-6142
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
60646846
WA
207RI0011X
Interventional Cardiology Physician
483488
PA
207RI0011X
Interventional Cardiology Physician
60646846
WA
207RI0011X
Interventional Cardiology Physician
Primary
MD483488
PA
207RI0011X
Interventional Cardiology Physician
TP874
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922325687
—
WA
01
—
P01794068
RR MEDICARE WVH
WA
Enumeration date
04/21/2010
Last updated
02/27/2024
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