Dr. Miguel Krishnan
Pediatric Otolaryngology
11234 Anderson St Suite 2592
Loma Linda
, California 92354-2804
Dr. Miguel Krishnan
Pediatric Otolaryngology
11234 Anderson St Suite 2592
Loma Linda
, California 92354-2804
(772) 618-9714
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About
Features
Specialties
- Pediatric Otolaryngology
Languages spoken
- English
Location
First Address
- Dr. Miguel Krishnan
- Po Box 235
- Loma Linda, CA
- Zip : 92354-0235
- Fax : (772) 618-9714
- Phone : (772) 618-9714
Second Address
- Dr. Miguel Krishnan
- 11234 Anderson St Suite 2592
- Loma Linda, CA
- Zip : 92354-2804
- Fax : (772) 618-9714
- Phone : (772) 618-9714
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YP0228X | Pediatric Otolaryngology | 20A8996 | CA |
National Provider Identifier
| NPI | 1407958390 |
|---|---|
| Provider Name | Dr. Miguel Krishnan |
| First Address | Loma Linda, CA 92354-0235 |
| Second Address | Loma Linda, CA 92354-2804 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/09/2006 |
| Last Update Date | 18/11/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00AX89960 | (05) | CA |
| H39022 | (02) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.