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General NPI Number Information
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NPI Number | 1770921132
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Entity Type | Individual
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Provider Name | PRIYA MENON KRISHNARAO MD
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Gender | Female
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Dates
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Enumeration Date | 06/07/2013
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Last Update Date | 11/21/2025
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Provider Practice Location Address
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Address Line | 550 1ST AVE FL 2
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City | NEW YORK
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State | NY
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Zip | 10016-6402
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Country | US
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Telephone | 212-263-5230
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Fax | 646-754-9560
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Provider Business Mailing Address
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Address Line | 2489 N LA CAPELLA CT
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City | ORANGE
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State | CA
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Zip | 92867-1918
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Country | US
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Telephone | 267-879-9306
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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 | A127418
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License Number State | CA
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