Challappa, Krishnan

Challappa, Krishnan is an individual health care provider with primary practice located at 1324 Woodland Dr Suite A, Elizabethtown KY 42701-2651. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Other Service Providers / Specialist. Other Service Providers / Specialist is his primary health care specialty. Challappa, Krishnan can be contacted via phone (270) 765-5921.

Contact Information

Primary practice address
1324 Woodland Dr Suite A Elizabethtown KY 42701-2651
Phone: (270) 765-5921
Fax: (270) 765-4391
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 31956 Kentucky
Other Service Providers / Specialist 174400000X 31956 Kentucky

Profile Details

NPI number 1942202676
LBN Legal business name Challappa, Krishnan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2005
Last updated Dec 2nd, 2009 - about 16 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 1942202676 NPPES
Kentucky MEDICAID 64319569

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