Srinivasan, Krishnan

Srinivasan, Krishnan is an individual health care provider with primary practice located at 101 W University Ave , Champaign IL 61820-3981. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Srinivasan, Krishnan can be contacted via phone (217) 366-1299.

Contact Information

Primary practice address
101 W University Ave Champaign IL 61820-3981
Phone: (217) 366-1299
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 036-084652 Illinois

Profile Details

NPI number 1770579922
LBN Legal business name Srinivasan, Krishnan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2005
Last updated Mar 29th, 2023 - about 2 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 1770579922 NPPES
Illinois Other F400112794 MEDICARE PTAN
Illinois MEDICAID 036-084-652 MEDICARE PTAN
Illinois Other 1770579922 MEDICARE PTAN

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