Provider Demographics
NPI:1669714853
Name:KRISHNAN, JAMUNA KESAVAN
Entity type:Individual
Prefix:
First Name:JAMUNA
Middle Name:KESAVAN
Last Name:KRISHNAN
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 1:505 E 70TH ST
Mailing Address - Street 2:WEILL CORNELL INTERNAL MEDICINE ASSOCIATES
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-4872
Mailing Address - Country:US
Mailing Address - Phone:212-746-2942
Mailing Address - Fax:212-746-4610
Practice Address - Street 1:505 E 70TH ST
Practice Address - Street 2:WEILL CORNELL INTERNAL MEDICINE ASSOCIATES
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-4872
Practice Address - Country:US
Practice Address - Phone:212-746-2942
Practice Address - Fax:212-746-4610
Is Sole Proprietor?:No
Enumeration Date:2013-03-26
Last Update Date:2023-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
NY283436207RP1001X
NY283436-1207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine