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NPI Code Detail

MEDICARE: KRISHNA R KYLASA MD

MEDICARE: KRISHNA R KYLASA 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
12085R0202XDiagnostic Radiology PhysicianA88957CA

Other Identifiers

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

General Provider Information

NPI Number : 1881686707
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISHNA R KYLASA MD
Provider Business Mailing Address
First Line : PO BOX 2447
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93303-2447
Country : US
Telephone Number : 661-633-5000
Fax Number : 661-633-2500
Provider Business Practice Location Address
First Line : 9602 STOCKDALE HWY
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93311-3618
Country : US
Telephone Number : 661-633-5000
Fax Number : 661-633-2500
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2005
Last Update Date : 07/08/2007

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Directions to “ KRISHNA R KYLASA MD” Practice Location

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