Individual
DR. RAVINDERAN KRISHNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
K3598
TX
207W00000X
Ophthalmology Physician
Primary
K3598
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080060901
—
TX
01
—
3372464
BLUE CROSS BLUE SHIELD
TX
01
—
88362G
BLUE CROSS BLUE SHIELD
TX
Enumeration date
08/22/2005
Last updated
12/07/2023
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