Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 4301064129 | MI |
NPI | 1063537645 |
---|---|
Provider Name | Ganapathy S Krishnan |
First Address | Chillicothe, OH 45601-9031 |
Second Address | Chillicothe, OH 45601-8207 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2007 |
Last Update Date | 30/11/2020 |