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General NPI Number Information
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NPI Number | 1134446412
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Entity Type | Organization
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Legal Business Name | DR KRISHNAMURTHY MEDICAL CENTER
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Dates
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Enumeration Date | 04/27/2010
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Last Update Date | 06/16/2010
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Provider Practice Location Address
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Address Line | 9470 ANNAPOLIS RD SUITE 301
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City | LANHAM
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State | MD
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Zip | 20706-3025
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Country | US
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Telephone | 301-306-1611
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Fax | 301-306-4567
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Provider Business Mailing Address
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Address Line | 9470 ANNAPOLIS RD SUITE 301
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City | LANHAM
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State | MD
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Zip | 20706-3025
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Country | US
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Telephone | 301-306-1611
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Fax | 301-306-4567
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | LEELA KRISHNAMURTHY
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Credential | M.D.
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Telephone | 301-306-1611
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number | B95104
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License Number State | MD
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