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General NPI Number Information
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NPI Number | 1376781914
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Entity Type | Individual
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Provider Name | MEGHNA KRISHNAN MD
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Gender | Female
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Dates
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Enumeration Date | 02/03/2009
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Last Update Date | 02/21/2025
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Provider Practice Location Address
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Address Line | 2300 WRIGHTSBORO RD
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City | AUGUSTA
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State | GA
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Zip | 30904-6220
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Country | US
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Telephone | 706-737-3948
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Fax |
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Provider Business Mailing Address
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Address Line | 9300 E RAINTREE DR STE 130
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-7313
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Country | US
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Telephone | 602-878-7501
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 2010014111
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License Number State | MO
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