Manda, Krishna K R

Manda, Krishna K R is an individual health care provider with primary practice located at 6940 Villagreen Vw , Rockford IL 61107-5605. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Manda, Krishna K R can be contacted via phone (779) 774-9272.

Contact Information

Primary practice address
6940 Villagreen Vw Rockford IL 61107-5605
Phone: (779) 774-9272
Fax: (779) 774-9273
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 036136899 Illinois

Profile Details

NPI number 1558593095
LBN Legal business name Manda, Krishna K R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2009
Last updated Sep 15th, 2022 - 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.

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