Provider Demographics
NPI:1417052424
Name:SAWHNEY, KRISHNA K (MD)
Entity Type:Individual
Prefix:
First Name:KRISHNA
Middle Name:K
Last Name:SAWHNEY
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:WYANDOTTE HOSPITAL
Mailing Address - Street 2:2333 WYANDOTTE
Mailing Address - City:WYANDOTTE
Mailing Address - State:MI
Mailing Address - Zip Code:48192
Mailing Address - Country:US
Mailing Address - Phone:734-324-3616
Mailing Address - Fax:
Practice Address - Street 1:WYANDOTTE HOSPITAL
Practice Address - Street 2:2333 WYANDOTTE
Practice Address - City:WYANDOTTE
Practice Address - State:MI
Practice Address - Zip Code:48192
Practice Address - Country:US
Practice Address - Phone:734-324-3616
Practice Address - Fax:734-324-3615
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI031576208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS031576OtherCHAMPUS-CHAMPUS
KS031576OtherCOMMERCIAL-COMMERCIAL NUMBER
700H262310OtherBLUE CROSS-BLUE CROSS
MI257820610Medicaid
700H262310OtherBLUE CROSS-BLUE CROSS
0H26231037Medicare ID - Type Unspecified