Krishnarao, Tangella V.

Krishnarao, Tangella V. 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 / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Krishnarao, Tangella V. can be contacted via phone (217) 337-2310.

Contact Information

Primary practice address
101 W University Ave Champaign IL 61820-3981
Phone: (217) 337-2310
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 036-108746 Illinois

Profile Details

NPI number 1396755914
LBN Legal business name Krishnarao, Tangella V.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated Jan 6th, 2022 - about 4 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 1396755914 NPPES
Other P00010307 RAILROAD MEDICARE
MEDICAID 036108746 1 RAILROAD MEDICARE
Other 279500 RAILROAD MEDICARE

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