Krishnan, Muthu S.

Krishnan, Muthu S. is an individual health care provider with primary practice located at 1191 Highway Kk Suite 300, Osage Beach MO 65065-3510. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Krishnan, Muthu S. can be contacted via phone (573) 302-4960.

Contact Information

Primary practice address
1191 Highway Kk Suite 300 Osage Beach MO 65065-3510
Phone: (573) 302-4960
Fax: (573) 302-4965
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X R5P38 Missouri
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X R5P38 Missouri

Profile Details

NPI number 1528089539
LBN Legal business name Krishnan, Muthu S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2006
Last updated Feb 18th, 2011 - about 14 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 1528089539 NPPES
Missouri MEDICAID 1528089539
Missouri Other P00853879
Missouri MEDICAID 507408201

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