Healthcare Provider Details

I. General information

NPI: 1538742804
Provider Name (Legal Business Name): AISHWARYA KRISHNAIAH M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2021
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 HAMPDEN PL
UTICA NY
13502-5631
US

IV. Provider business mailing address

111 HOSPITAL DR
UTICA NY
13502-2517
US

V. Phone/Fax

Practice location:
  • Phone: 315-624-3666
  • Fax: 315-733-2846
Mailing address:
  • Phone: 315-624-6101
  • Fax: 315-624-6744

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number340636
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: