Provider Demographics
NPI:1346479359
Name:ALAGIRISWAMI, KRISHNASWAMI (MD)
Entity Type:Individual
Prefix:
First Name:KRISHNASWAMI
Middle Name:
Last Name:ALAGIRISWAMI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 S OCEAN DR
Mailing Address - Street 2:1506 N
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33019-2121
Mailing Address - Country:US
Mailing Address - Phone:954-925-0111
Mailing Address - Fax:
Practice Address - Street 1:1201 S OCEAN DR
Practice Address - Street 2:1506 N
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33019-2121
Practice Address - Country:US
Practice Address - Phone:954-925-0111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-11
Last Update Date:2009-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD033051L2080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine