Provider Demographics
NPI:1437239068
Name:DIXIT, KRISHNA KANT (MD)
Entity Type:Individual
Prefix:MR
First Name:KRISHNA
Middle Name:KANT
Last Name:DIXIT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:338 MEADOW AVENUE
Mailing Address - Street 2:
Mailing Address - City:NEWBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12550
Mailing Address - Country:US
Mailing Address - Phone:845-569-8968
Mailing Address - Fax:845-569-0881
Practice Address - Street 1:338 MEADOW AVENUE
Practice Address - Street 2:
Practice Address - City:NEWBURGH
Practice Address - State:NY
Practice Address - Zip Code:12550
Practice Address - Country:US
Practice Address - Phone:845-569-8968
Practice Address - Fax:845-569-0881
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2012-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY188787207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01506418Medicaid
NY01506418Medicaid
F43681Medicare UPIN