Dr. Ravi S Krishnan
MOHS-Micrographic Surgeon
1100 9th Ave
Seattle
, Washington 98101-2756
Dr. Ravi S Krishnan
MOHS-Micrographic Surgeon
1100 9th Ave
Seattle
, Washington 98101-2756
(206) 341-1910
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About
Features
Specialties
- MOHS-Micrographic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Ravi S Krishnan
- Po Box 24366
- Seattle, WA
- Zip : 98124-0366
- Fax : (206) 341-1910
- Phone : (206) 223-8806
Second Address
- Dr. Ravi S Krishnan
- 1100 9th Ave
- Seattle, WA
- Zip : 98101-2756
- Fax : (206) 341-1910
- Phone : (206) 223-8806
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207ND0101X | MOHS-Micrographic Surgeon | 35086138 | OH |
| N | 207ND0101X | MOHS-Micrographic Surgeon | MD60030875 | WA |
National Provider Identifier
| NPI | 1023063716 |
|---|---|
| Provider Name | Dr. Ravi S Krishnan |
| First Address | Seattle, WA 98124-0366 |
| Second Address | Seattle, WA 98101-2756 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/05/2006 |
| Last Update Date | 25/08/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 8891425 | MEDICARE PTAN - KITSAP CO (01) | WA |
| I30935 | (02) | OH |
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.