Individual
DR. PRAKASH KRISHNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5 E 98TH ST, 3RD FLOOR, NEW YORK, NY 10029-6501
(212) 241-5586
Mailing address
1 GUSTAVE L LEVY PL, BOX 1030, NEW YORK, NY 10029-6500
(212) 241-5407
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
229131-1
NY
207RI0011X
Interventional Cardiology Physician
Primary
229131
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02593800
—
NY
Enumeration date
06/16/2006
Last updated
02/18/2014
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