Koyamangalath Krishnan
Medical Oncology
1 Professional Park Dr Ste 21
Johnson City
, Tennessee 37604-6587
Koyamangalath Krishnan
Medical Oncology
1 Professional Park Dr Ste 21
Johnson City
, Tennessee 37604-6587
(423) 232-6903
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About
Features
Specialties
- Medical Oncology
Languages spoken
- English
Location
First Address
- Koyamangalath Krishnan
- 1 Professional Park Dr Ste 21
- Johnson City, TN
- Zip : 37604-6587
- Fax : (423) 232-6903
- Phone : (423) 232-6900
Second Address
- Koyamangalath Krishnan
- 1 Professional Park Dr Ste 21
- Johnson City, TN
- Zip : 37604-6587
- Fax : (423) 232-6903
- Phone : (423) 232-6900
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Is Koyamangalath Krishnan a sole practitioner?
Is Koyamangalath Krishnan accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RX0202X | Medical Oncology | 30191 | TN |
National Provider Identifier
| NPI | 1144241464 |
|---|---|
| Provider Name | Koyamangalath Krishnan |
| First Address | Johnson City, TN 37604-6587 |
| Second Address | Johnson City, TN 37604-6587 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/07/2006 |
| Last Update Date | 15/02/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1144241464 | (05) | VA |
| 3822354 | (05) | TN |
| P00867848 | RAILROAD MEDICARE (01) | TN |
| Q020981 | (05) | TN |
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.