Provider Demographics
NPI:1760754295
Name:SARKAR, KRISHNA K
Entity Type:Individual
Prefix:MS
First Name:KRISHNA
Middle Name:K
Last Name:SARKAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 E ARAPAHO RD
Mailing Address - Street 2:APT # 22314
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75081-3180
Mailing Address - Country:US
Mailing Address - Phone:267-329-8060
Mailing Address - Fax:
Practice Address - Street 1:2000 E ARAPAHO RD
Practice Address - Street 2:APT # 22314
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75081-3180
Practice Address - Country:US
Practice Address - Phone:267-329-8060
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-30
Last Update Date:2012-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX113948225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist