Krishna, Jeevana
Krishna, Jeevana is an individual health care provider with primary practice located at 765 Lanier 400 Pkwy , Cumming GA 30040-2539. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Krishna, Jeevana can be contacted via phone (770) 205-1294.Contact Information
Primary practice address
765 Lanier 400 Pkwy
Cumming GA 30040-2539
Phone: (770) 205-1294
Fax: (770) 205-1783
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 032759 | Georgia |
Profile Details
| NPI number | 1528020575 |
|---|---|
| LBN Legal business name | Krishna, Jeevana |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 5th, 2006 |
| Last updated | Feb 26th, 2021 - about 3 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 | 1528020575 | NPPES |
| Georgia | MEDICAID | 000579961G | |
| Georgia | MEDICAID | 000579961I | |
| Georgia | MEDICAID | 000579961H | |
| Georgia | MEDICAID | 000579961C |
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