Provider Demographics
NPI:1093342628
Name:PESHWE, KRITHIKA UMESH
Entity Type:Individual
Prefix:
First Name:KRITHIKA UMESH
Middle Name:
Last Name:PESHWE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 CHAPEL ST APT NO205
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06510-2802
Mailing Address - Country:US
Mailing Address - Phone:832-450-1054
Mailing Address - Fax:
Practice Address - Street 1:DEPARTMENT OF NEUROLOGY
Practice Address - Street 2:5TH FLOOR POC
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26507
Practice Address - Country:US
Practice Address - Phone:304-598-6127
Practice Address - Fax:304-598-6442
Is Sole Proprietor?:No
Enumeration Date:2020-03-24
Last Update Date:2020-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program