Krishnan, Miguel
Krishnan, Miguel is an individual health care provider with primary practice located at 11234 Anderson St Suite 2592, Loma Linda CA 92354-2804. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Otolaryngology, which is considered as his primary health care specialty. Krishnan, Miguel can be contacted via phone (772) 618-9714.Contact Information
Primary practice address
11234 Anderson St Suite 2592
Loma Linda CA 92354-2804
Phone: (772) 618-9714
Fax: (772) 618-9714
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Otolaryngology | 207YP0228X | 20A8996 | California |
Profile Details
| NPI number | 1407958390 |
|---|---|
| LBN Legal business name | Krishnan, Miguel |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 2nd, 2006 |
| Last updated | Nov 18th, 2021 - about 3 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 | 1407958390 | NPPES |
| California | MEDICAID | 00AX89960 |
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