Krishnathas, Ananthan

Krishnathas, Ananthan is an individual health care provider with primary practice located at 4605 Maccorkle Ave. Sw , South Charleston WV 25309. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Krishnathas, Ananthan can be contacted via phone (304) 766-3526.

Contact Information

Primary practice address
4605 Maccorkle Ave. Sw South Charleston WV 25309
Phone: (304) 766-3526
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 21702 West Virginia

Profile Details

NPI number 1891786554
LBN Legal business name Krishnathas, Ananthan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Sep 7th, 2012 - about 12 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 1891786554 NPPES
West Virginia MEDICAID 3810000987

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