Healthcare Provider Details

I. General information

NPI: 1740487024
Provider Name (Legal Business Name): AMAR KRISHNASWAMY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/29/2007
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9500 EUCLID AVE DESK J2-3
CLEVELAND OH
44195-0001
US

IV. Provider business mailing address

2042 E 4TH ST APT 200
CLEVELAND OH
44115-3802
US

V. Phone/Fax

Practice location:
  • Phone: 716-983-2014
  • Fax:
Mailing address:
  • Phone: 716-983-2014
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number35.099935
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: