Provider Demographics
NPI:1922061712
Name:KRISHNAMURTHY, NARAYAN (MD)
Entity Type:Individual
Prefix:
First Name:NARAYAN
Middle Name:
Last Name:KRISHNAMURTHY
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 1:1406 MCFARLAND BLVD N
Mailing Address - Street 2:SUITE C
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35406-2293
Mailing Address - Country:US
Mailing Address - Phone:205-343-0004
Mailing Address - Fax:205-343-0092
Practice Address - Street 1:1406 MCFARLAND BLVD N
Practice Address - Street 2:SUITE C
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35406-2293
Practice Address - Country:US
Practice Address - Phone:205-343-0004
Practice Address - Fax:205-343-0092
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-11
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL18714207RP1001X, 207RC0200X, 207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL137967Medicaid
AL051125621OtherALABAMA BLUE CROSS/BLUE SHIELD PROVIDER #
AL051125621OtherALABAMA BLUE CROSS/BLUE SHIELD PROVIDER #
ALF34826Medicare UPIN
AL137967Medicaid