Santhana Krishnan, Srivilliputtur Gopalan

Santhana Krishnan, Srivilliputtur Gopalan is an individual health care provider with primary practice located at 330 E Beltline Ave Ne Suite 100, Grand Rapids MI 49506-1267. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Santhana Krishnan, Srivilliputtur Gopalan can be contacted via phone (616) 752-6235.

Contact Information

Primary practice address
330 E Beltline Ave Ne Suite 100 Grand Rapids MI 49506-1267
Phone: (616) 752-6235
Fax: (616) 328-8177
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 4301093886 Michigan

Profile Details

NPI number 1902850316
LBN Legal business name Santhana Krishnan, Srivilliputtur Gopalan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Jan 17th, 2020 - about 5 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 1902850316 NPPES
Michigan MEDICAID 1902850316

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