Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0203X | Pediatric Critical Care Doctor | 46475 | KY |
N | 2080P0203X | Pediatric Critical Care Doctor | TP357 | KY |
NPI | 1073720314 |
---|---|
Provider Name | Dr. Ashwin Subramani Krishna |
First Address | Lexington, KY 40536 |
Second Address | Lexington, KY 40536 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2007 |
Last Update Date | 05/10/2018 |