Provider Demographics
NPI:1124416474
Name:KRISHNAN, APARNA (MD, MPH)
Entity Type:Individual
Prefix:MISS
First Name:APARNA
Middle Name:
Last Name:KRISHNAN
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1235 OLD YORK RD STE 210
Mailing Address - Street 2:
Mailing Address - City:ABINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:19001-3841
Mailing Address - Country:US
Mailing Address - Phone:215-659-3220
Mailing Address - Fax:215-659-8967
Practice Address - Street 1:1235 OLD YORK RD STE 210
Practice Address - Street 2:
Practice Address - City:ABINGTON
Practice Address - State:PA
Practice Address - Zip Code:19001-3841
Practice Address - Country:US
Practice Address - Phone:215-659-3220
Practice Address - Fax:215-659-8967
Is Sole Proprietor?:No
Enumeration Date:2015-01-08
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD478481207Q00000X, 207Q00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program