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NPI 1003444613

NPI 1003444613 : SHILPA KRISHNAN : SACRAMENTO, CA

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General NPI Number Information
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    NPI Number           |    1003444613
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    Entity Type          |    Individual 
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    Provider Name        |    SHILPA KRISHNAN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/30/2020
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    Last Update Date     |    08/22/2025
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Provider Practice Location Address
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    Address Line         |    2031 HOWE AVE STE 200 
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    City                 |    SACRAMENTO
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    State                |    CA
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    Zip                  |    95825-0178
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    Country              |    US
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    Telephone            |    916-973-5300
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1 BAYLOR PLZ 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77030-3411
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    Country              |    US
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    Telephone            |    832-826-7372
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    20A24236
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    License Number State |    CA
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