Krishnadasan, Bahirathan
Krishnadasan, Bahirathan is an individual health care provider with primary practice located at 1802 Yakima Ave Suite 102, Tacoma WA 98405-4499. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Krishnadasan, Bahirathan can be contacted via phone (253) 272-7777.Contact Information
Primary practice address
1802 Yakima Ave Suite 102
Tacoma WA 98405-4499
Phone: (253) 272-7777
Fax: (253) 426-4142
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | MD00041594 | Washington |
Profile Details
| NPI number | 1639253313 |
|---|---|
| LBN Legal business name | Krishnadasan, Bahirathan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 25th, 2006 |
| Last updated | Dec 22nd, 2014 - 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 | 1639253313 | NPPES |
| Washington | MEDICAID | 8431710 |
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