Provider Demographics
NPI:1245309863
Name:KRISHNA SANKAR M.D.,P.C.
Entity type:Organization
Organization Name:KRISHNA SANKAR M.D.,P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KRISHNA
Authorized Official - Middle Name:
Authorized Official - Last Name:SANKAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:540-962-4621
Mailing Address - Street 1:201 INTERSTATE DR
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:24426-6441
Mailing Address - Country:US
Mailing Address - Phone:540-962-4621
Mailing Address - Fax:540-962-7573
Practice Address - Street 1:201 INTERSTATE DR
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:VA
Practice Address - Zip Code:24426-6441
Practice Address - Country:US
Practice Address - Phone:540-962-4621
Practice Address - Fax:540-962-7573
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-07
Last Update Date:2007-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618000020152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VACM1365OtherRAILROAD MEDICARE
VA060794OtherBLUE CROSS/ BLUE SHIELD
VAC02492Medicare PIN
VACM1365OtherRAILROAD MEDICARE
VA060794OtherBLUE CROSS/ BLUE SHIELD
VAB05384Medicare UPIN