Individual
PRASANNA L. KRISHNAMSHETTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
200 JOSE FIGUERES AVE, STE# 435, SAN JOSE, CA 95116-1500
(408) 258-4244
(408) 258-3338
Mailing address
200 JOSE FIGUERES AVE, STE# 435, SAN JOSE, CA 95116-1500
(408) 258-4244
(408) 258-3338
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
A63379
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A633791
MEDI-CAL
CA
01
—
7396695
AETNA
CA
01
—
R09174
BLUE CROSS
CA
Enumeration date
04/17/2006
Last updated
01/31/2012
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