Krishnan, Koyamangalath

Krishnan, Koyamangalath is an individual health care provider with primary practice located at 1 Professional Park Dr Ste 21, Johnson City TN 37604-6587. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Krishnan, Koyamangalath can be contacted via phone (423) 232-6900.

Contact Information

Primary practice address
1 Professional Park Dr Ste 21 Johnson City TN 37604-6587
Phone: (423) 232-6900
Fax: (423) 232-6903
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 30191 Tennessee

Profile Details

NPI number 1144241464
LBN Legal business name Krishnan, Koyamangalath
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated Feb 15th, 2017 - about 7 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 1144241464 NPPES
Tennessee Other P00867848 RAILROAD MEDICARE
Tennessee MEDICAID 1144241464 RAILROAD MEDICARE
Tennessee MEDICAID Q020981 RAILROAD MEDICARE
Tennessee MEDICAID 3822354 RAILROAD MEDICARE

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