Provider Demographics
NPI:1255323358
Name:SAXENA, KRISHNA M (MD)
Entity Type:Individual
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First Name:KRISHNA
Middle Name:M
Last Name:SAXENA
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Gender:M
Credentials:MD
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Mailing Address - Street 1:CHILDREN'S HEALTH CARE
Mailing Address - Street 2:2910 CENTRE POINTE DRIVE, 35-121A
Mailing Address - City:ROSEVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55113
Mailing Address - Country:US
Mailing Address - Phone:651-855-2327
Mailing Address - Fax:651-855-2310
Practice Address - Street 1:CHILDREN'S SPECIALTY CLINIC-DIABETES/ENDOCRINOLOGY-STPL
Practice Address - Street 2:347 NORTH SMITH AVENUE
Practice Address - City:ST PAUL
Practice Address - State:MN
Practice Address - Zip Code:55102
Practice Address - Country:US
Practice Address - Phone:651-220-6818
Practice Address - Fax:651-220-6064
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-16
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
MN184872080P0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
F48977Medicare UPIN