Provider Demographics
NPI:1467681338
Name:KRISHNAN, UDHAY (MD)
Entity Type:Individual
Prefix:
First Name:UDHAY
Middle Name:
Last Name:KRISHNAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:520 E 70TH STREET
Mailing Address - Street 2:STARR 4
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-9800
Mailing Address - Country:US
Mailing Address - Phone:212-746-2381
Mailing Address - Fax:212-746-6665
Practice Address - Street 1:520 EAST 70TH STREET
Practice Address - Street 2:STARR 4
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021
Practice Address - Country:US
Practice Address - Phone:212-746-2381
Practice Address - Fax:212-746-6665
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-13
Last Update Date:2017-10-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY282722207RC0000X, 207RA0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RA0001XAllopathic & Osteopathic PhysiciansInternal MedicineAdvanced Heart Failure and Transplant Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease