Krishnan, Geetha Priydarshini
Krishnan, Geetha Priydarshini is an individual health care provider with primary practice located at N2950 State Road 67 , Lake Geneva WI 53147-2655. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Krishnan, Geetha Priydarshini can be contacted via phone (262) 245-0535.Contact Information
Primary practice address
N2950 State Road 67
Lake Geneva WI 53147-2655
Phone: (262) 245-0535
Fax: (262) 245-2248
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 62300 | Connecticut |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 60129-20 | Wisconsin |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 036.128889 | Illinois |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 321104 | Louisiana |
Profile Details
| NPI number | 1699067132 |
|---|---|
| LBN Legal business name | Krishnan, Geetha Priydarshini |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 3rd, 2011 |
| Last updated | Jun 12th, 2023 - about last year |
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 | 1699067132 | NPPES |
| Illinois | MEDICAID | 036128889 2 | |
| Illinois | Other | 1699067132 | |
| Illinois | Other | KRISHGEE | |
| Illinois | MEDICAID | 1699067132 |
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