MEDICARE: KRISHNA MURTHY M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RP1001X	Pulmonary Disease Physician	01031888A	IN
2	207R00000X	Internal Medicine Physician	01031888A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	000000042157	OTHER	IN	BCBS PIN

General Provider Information

NPI Number	:	1841293115
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISHNA MURTHY M.D.

Provider Business Mailing Address
First Line	:	PO BOX 1510
Second Line	:
City	:	EVANSVILLE
State	:	IN
Zip	:	47706-1510
Country	:	US
Telephone Number	:	812-386-6560
Fax Number	:	812-385-5015

Provider Business Practice Location Address
First Line	:	685 VAIL ST
Second Line	:
City	:	PRINCETON
State	:	IN
Zip	:	47670-9510
Country	:	US
Telephone Number	:	812-386-6560
Fax Number	:	812-386-6698

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/31/2005
Last Update Date	:	09/29/2016

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