Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | 2021-02745 | NC |
N | 207T00000X | Neurosurgeon | 35126531 | OH |
NPI | 1114008364 |
---|---|
Provider Name | Dr. Vibhor Krishna |
First Address | Columbus, OH 43202-1559 |
Second Address | Chapel Hill, NC 27514-4220 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2006 |
Last Update Date | 03/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0134611 | (05) | OH |