Krishnarao, Indira
Krishnarao, Indira is an individual health care provider with primary practice located at 735 Niles Cortland Rd Se , Warren OH 44484-2475. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Krishnarao, Indira can be contacted via phone (330) 856-6365.Contact Information
Primary practice address
735 Niles Cortland Rd Se
Warren OH 44484-2475
Phone: (330) 856-6365
Fax: (330) 609-5088
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 35048616 | Ohio |
Profile Details
| NPI number | 1417943796 |
|---|---|
| LBN Legal business name | Krishnarao, Indira |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 22nd, 2005 |
| Last updated | Oct 8th, 2009 - about 16 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 | 1417943796 | NPPES |
| Ohio | MEDICAID | 0633050 |
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