Deonanan, Joel Krishna
Deonanan, Joel Krishna is an individual health care provider with primary practice located at 2827 Lyndhurst Ave Ste 203 , Winston Salem NC 27103-4145. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Deonanan, Joel Krishna can be contacted via phone (336) 794-8624.Contact Information
Primary practice address
2827 Lyndhurst Ave Ste 203
Winston Salem NC 27103-4145
Phone: (336) 794-8624
Fax: (336) 231-8845
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 2009-01728 | North Carolina |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 390200000X | North Carolina |
Profile Details
| NPI number | 1699955427 |
|---|---|
| LBN Legal business name | Deonanan, Joel Krishna |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 8th, 2007 |
| Last updated | Oct 28th, 2020 - about 4 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 | 1699955427 | NPPES |
| North Carolina | MEDICAID | 5917775 | |
| North Carolina | MEDICAID | 1699955427 |
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