Provider Demographics
NPI:1023704566
Name:KARNATAPU, SRIKRISHNA CHANAKYA (MD)
Entity type:Individual
Prefix:DR
First Name:SRIKRISHNA
Middle Name:CHANAKYA
Last Name:KARNATAPU
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:PREVEA FAMILY MEDICINE
Mailing Address - Street 2:617 W CLAIREMONT AVE
Mailing Address - City:EAU CLAIRE
Mailing Address - State:WI
Mailing Address - Zip Code:54701
Mailing Address - Country:US
Mailing Address - Phone:715-839-5175
Mailing Address - Fax:
Practice Address - Street 1:PREVEA FAMILY MEDICINE
Practice Address - Street 2:617 W CLAIREMONT AVE
Practice Address - City:EAU CLAIRE
Practice Address - State:WI
Practice Address - Zip Code:54701
Practice Address - Country:US
Practice Address - Phone:715-839-5175
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-17
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program