Baddigam, Krishnamohan R

Baddigam, Krishnamohan R is an individual health care provider with primary practice located at 200 Providence Rd Suite 101, Charlotte NC 28207-1407. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Baddigam, Krishnamohan R can be contacted via phone (704) 749-5800.

Contact Information

Primary practice address
200 Providence Rd Suite 101 Charlotte NC 28207-1407
Phone: (704) 749-5800
Fax: (704) 749-5819
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 2009-01794 North Carolina
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 2009-01794 North Carolina
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 2009-01794 North Carolina

Profile Details

NPI number 1467558577
LBN Legal business name Baddigam, Krishnamohan R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2006
Last updated Jun 17th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467558577 NPPES
North Carolina MEDICAID 5913791

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