Gaddam, Krishna Kishore

Gaddam, Krishna Kishore is an individual health care provider with primary practice located at 1022 1St St N Ste 500 , Alabaster AL 35007-8740. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Gaddam, Krishna Kishore can be contacted via phone (205) 663-5775.

Contact Information

Primary practice address
1022 1St St N Ste 500 Alabaster AL 35007-8740
Phone: (205) 663-5775
Fax: (205) 664-2112
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 26807 Alabama

Profile Details

NPI number 1770608630
LBN Legal business name Gaddam, Krishna Kishore
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2007
Last updated Dec 31st, 2014 - about 10 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 1770608630 NPPES
Alabama MEDICAID 165669

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