Provider Demographics
NPI:1982136933
Name:KRISHNAN, ARVIND (MD)
Entity Type:Individual
Prefix:
First Name:ARVIND
Middle Name:
Last Name:KRISHNAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2510 WESTCHESTER AVE STE A
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-3585
Mailing Address - Country:US
Mailing Address - Phone:718-517-3030
Mailing Address - Fax:718-517-3031
Practice Address - Street 1:2510 WESTCHESTER AVE STE A
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-3585
Practice Address - Country:US
Practice Address - Phone:718-517-3030
Practice Address - Fax:718-517-3031
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-29
Last Update Date:2022-09-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY313543208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology