Chongsiriwatana, Krisna
Chongsiriwatana, Krisna is an individual health care provider with primary practice located at 500 Walter Ne Suite 104, Albuquerque NM 87102. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Chongsiriwatana, Krisna can be contacted via phone (505) 848-3730.Contact Information
Primary practice address
500 Walter Ne Suite 104
Albuquerque NM 87102
Phone: (505) 848-3730
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 78-15 | New Mexico |
Profile Details
| NPI number | 1316907355 |
|---|---|
| LBN Legal business name | Chongsiriwatana, Krisna |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 24th, 2006 |
| Last updated | Apr 27th, 2012 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316907355 | NPPES |
| New Mexico | MEDICAID | 2329 |
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