Provider Demographics
NPI:1235316639
Name:KRISHNA, IRIS ILIANA (MD)
Entity Type:Individual
Prefix:
First Name:IRIS
Middle Name:ILIANA
Last Name:KRISHNA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:550 PEACHTREE ST NE
Mailing Address - Street 2:8TH FLOOR
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30308-2208
Mailing Address - Country:US
Mailing Address - Phone:404-778-3401
Mailing Address - Fax:404-686-2015
Practice Address - Street 1:550 PEACHTREE ST NE
Practice Address - Street 2:8TH FLOOR
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30308-2208
Practice Address - Country:US
Practice Address - Phone:404-778-3401
Practice Address - Fax:404-686-2015
Is Sole Proprietor?:No
Enumeration Date:2008-01-28
Last Update Date:2015-08-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA64169207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine