Provider Demographics
NPI:1336286020
Name:KRISHNAN, VIDYA (MD, MHS)
Entity Type:Individual
Prefix:DR
First Name:VIDYA
Middle Name:
Last Name:KRISHNAN
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Gender:F
Credentials:MD, MHS
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:2500 METROHEALTH DR
Mailing Address - Street 2:BG3-38
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44109-1900
Mailing Address - Country:US
Mailing Address - Phone:216-778-3441
Mailing Address - Fax:216-778-7718
Practice Address - Street 1:2500 METROHEALTH DR
Practice Address - Street 2:BG3-38
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44109-1900
Practice Address - Country:US
Practice Address - Phone:216-778-3441
Practice Address - Fax:216-778-7718
Is Sole Proprietor?:No
Enumeration Date:2007-01-31
Last Update Date:2011-10-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDT3564207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease