| Subbarayan Krishnan Md | |
|
1031 E Latham Ave #3 Hemet CA 92543-4425 | |
| (951) 766-7030 | |
| (951) 766-5800 |
| Full Name | Subbarayan Krishnan Md |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1031 E Latham Ave, Hemet, California |
| Authorized Official Name and Position | Subbarayan Krishnan (OWNER) |
| Authorized Official Contact | 9517667030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Subbarayan Krishnan Md 1031 E Latham Ave #3 Hemet CA 92543-4425 Ph: (951) 766-7030 | Subbarayan Krishnan Md 1031 E Latham Ave #3 Hemet CA 92543-4425 Ph: (951) 766-7030 |
| NPI Number | 1043526882 |
|---|---|
| Provider Enumeration Date | 08/30/2010 |
| Last Update Date | 08/30/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043526882 | NPI | - | NPPES |
| 00A544810 | Other | CA | MEDICARE PTAN |
| 4882835 | Medicaid | CA | |
| 1023047198 01 | Other | CA | MEDI-CAL PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | A054481 (California) | Primary |
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› Verified 9 days ago
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