Susarla, Krishna
Susarla, Krishna is an individual health care provider with primary practice located at 444 Montgomery St , Chicopee MA 01020-1969. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Susarla, Krishna can be contacted via phone (413) 594-3111.Contact Information
Primary practice address
444 Montgomery St
Chicopee MA 01020-1969
Phone: (413) 594-3111
Fax: (413) 789-8048
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 208842 | Massachusetts |
Profile Details
| NPI number | 1942263371 |
|---|---|
| LBN Legal business name | Susarla, Krishna |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 7th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942263371 | NPPES |
| Massachusetts | MEDICAID | 0128112 |
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