MEDICARE: DR. MURALIDHAR KRISHNAIAH MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0402X	Neurology with Special Qualifications in Child Neurology Physician	MA8023000	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427071729
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MURALIDHAR KRISHNAIAH MD

Provider Business Mailing Address
First Line	:	1691 HIGWAY 9
Second Line	:	CN 2025
City	:	TOMS RIVER
State	:	NJ
Zip	:	08754
Country	:	US
Telephone Number	:	732-914-3843
Fax Number	:	732-914-0854

Provider Business Practice Location Address
First Line	:	1691 ROUTE 9
Second Line	:	SAINT BARBABAS BEHAVIORAL HEALTH CENTER CN 2025
City	:	TOMS RIVER
State	:	NJ
Zip	:	08755-1245
Country	:	US
Telephone Number	:	732-914-3843
Fax Number	:	732-914-3854

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/26/2006
Last Update Date	:	07/08/2007

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