Krishna, Samavedam Ananta
Krishna, Samavedam Ananta is an sole proprietor health care provider with primary practice located at 307 Vernedale Dr , Mount Vernon OH 43050-2921. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Krishna, Samavedam Ananta can be contacted via phone (740) 393-1112.Contact Information
Primary practice address
307 Vernedale Dr
Mount Vernon OH 43050-2921
Phone: (740) 393-1112
Fax: (740) 393-1115
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 35.071097 | Ohio |
Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | 35.071097 | Ohio |
Profile Details
NPI number | 1659434355 |
---|---|
LBN Legal business name | Krishna, Samavedam Ananta |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 18th, 2006 |
Last updated | Feb 28th, 2013 - about 11 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 | 1659434355 | NPPES |
Ohio | MEDICAID | 2023456 | |
Ohio | Other | 311615821-00 |
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