Krishnan, Jambunathan

Krishnan, Jambunathan is an individual health care provider with primary practice located at 2823 Fresno St , Fresno CA 93721. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is his primary health care specialty. Krishnan, Jambunathan can be contacted via phone (559) 499-6556.

Contact Information

Primary practice address
2823 Fresno St Fresno CA 93721
Phone: (559) 499-6556
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X C149848 California
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X C149848 California

Profile Details

NPI number 1699786897
LBN Legal business name Krishnan, Jambunathan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2006
Last updated Jan 15th, 2020 - about 4 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 1699786897 NPPES
Michigan Other 350D176310 BCBS GROUP

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