Individual
KRISHNA MOHAN NAMBURI
Active
Individual
KRISHNA MOHAN NAMBURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
01038133A
IN
207RC0000X
Cardiovascular Disease Physician
36077615
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000089624
ANTHEM
—
01
—
060023841
RAILROAD MCARE PALAMETTO
—
01
—
060068542
RAILROAD MEDICARE
IN
05
—
100376520
—
IN
01
—
100376520A
MOLINA HEALTHCARE MCAID
IN
01
—
100376520G
MOLINA HEALTHCARE MCAID
IN
05
—
100376520Y
—
IN
05
—
100376520Z
—
IN
01
—
351904269124
CARESOURCE MEDICAID
—
01
—
351904269237
CARESOURCE MEDICAID
—
01
—
4589941
AETNA
—
01
—
P00398470
RAILROAD MEDICARE
—
01
—
P00844276
RAILROAD MEDICARE
IN
01
—
P01056435
RAILROAD MEDICARE
IL
Enumeration date
08/30/2006
Last updated
11/10/2014
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