Healthcare Provider Details

I. General information

NPI: 1295777332
Provider Name (Legal Business Name): NARAYANNA KRISHNAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3245 NOSTRAND AVE
BROOKLYN NY
11229
US

IV. Provider business mailing address

233 NOSTRAND AVE
BROOKLYN NY
11205
US

V. Phone/Fax

Practice location:
  • Phone: 719-615-3777
  • Fax: 718-615-3481
Mailing address:
  • Phone: 718-826-5911
  • Fax: 718-826-3860

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number1335801
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code2080P0205X
TaxonomyPediatric Endocrinology Physician
License Number1335801
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: