Provider Demographics
NPI:1013177237
Name:SHIMOJI-KRISHNAN, ASHOK (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:ASHOK
Middle Name:
Last Name:SHIMOJI-KRISHNAN
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:DR
Other - First Name:ASHOK
Other - Middle Name:
Other - Last Name:KRISHNAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:13451 SE 36TH ST
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98006-1475
Mailing Address - Country:US
Mailing Address - Phone:425-562-1337
Mailing Address - Fax:425-562-3802
Practice Address - Street 1:13451 SE 36TH ST
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98006-1475
Practice Address - Country:US
Practice Address - Phone:425-562-1337
Practice Address - Fax:425-562-3802
Is Sole Proprietor?:No
Enumeration Date:2008-06-11
Last Update Date:2021-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD602215392084P0804X, 302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No302R00000XManaged Care OrganizationsHealth Maintenance Organization