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General NPI Number Information
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NPI Number | 1295837557
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Entity Type | Organization
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Legal Business Name | PAD S.KRISHNA MD INC
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Dates
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Enumeration Date | 09/05/2006
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Last Update Date | 11/16/2007
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Provider Practice Location Address
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Address Line | 3650 SOUTH ST SUITE #411
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City | LAKEWOOD
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State | CA
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Zip | 90712-1502
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Country | US
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Telephone | 562-531-7757
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Fax | 562-531-0833
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Provider Business Mailing Address
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Address Line | 3650 E SOUTH ST SUITE 411
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City | LAKEWOOD
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State | CA
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Zip | 90712-1512
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Country | US
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Telephone | 562-531-7757
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Fax | 562-531-0833
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Authorized Official
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Title or Position | DOCTOR
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Name | PAD S KRISHNA
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Credential | MD FACC
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Telephone | 562-531-7757
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | A30918
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License Number State | CA
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