Provider Demographics
NPI:1447217393
Name:KRISHNAN, HARINIDEVI (MD)
Entity Type:Individual
Prefix:
First Name:HARINIDEVI
Middle Name:
Last Name:KRISHNAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3456 TRINDLE RD
Mailing Address - Street 2:
Mailing Address - City:CAMP HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17011-4468
Mailing Address - Country:US
Mailing Address - Phone:717-635-2073
Mailing Address - Fax:717-635-2074
Practice Address - Street 1:3456 TRINDLE RD
Practice Address - Street 2:
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-4468
Practice Address - Country:US
Practice Address - Phone:717-635-2073
Practice Address - Fax:717-635-2074
Is Sole Proprietor?:No
Enumeration Date:2006-04-26
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD429733207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1017099500001Medicaid
PA1017099500001Medicaid
PA104918VUZMedicare PIN