Healthcare Provider Details

I. General information

NPI: 1336286020
Provider Name (Legal Business Name): VIDYA KRISHNAN M.D., M.H.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/31/2007
Last Update Date: 11/04/2025
Certification Date: 11/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 METROHEALTH DR BG3-38
CLEVELAND OH
44109-1900
US

IV. Provider business mailing address

2500 METROHEALTH DR BG3-38
CLEVELAND OH
44109-1900
US

V. Phone/Fax

Practice location:
  • Phone: 216-778-3441
  • Fax: 216-778-7718
Mailing address:
  • Phone: 216-778-3441
  • Fax: 216-778-7718

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number35.090361
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number35.090361
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number35.090361
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: