| Sujatha Krishnan Md Pa | |
|
4461 Coit Rd Ste 409 Frisco TX 75035-0526 | |
| (214) 396-8877 | |
| (214) 983-0983 |
| Full Name | Sujatha Krishnan Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 4461 Coit Rd Ste 409, Frisco, Texas |
| Authorized Official Name and Position | Sujatha Krishnan (PHYSICIAN) |
| Authorized Official Contact | 2143968877 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sujatha Krishnan Md Pa 4461 Coit Rd Ste 409 Frisco TX 75035-0526 Ph: (214) 912-2604 | Sujatha Krishnan Md Pa 4461 Coit Rd Ste 409 Frisco TX 75035-0526 Ph: (214) 396-8877 |
| NPI Number | 1518400738 |
|---|---|
| Provider Enumeration Date | 11/19/2016 |
| Last Update Date | 09/14/2024 |
| Medicare PECOS PAC ID | 0244593069 |
|---|---|
| Medicare Enrollment ID | O20180409002532 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518400738 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Sujatha Krishnan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1134211865 PECOS PAC ID: 5597857227 Enrollment ID: I20110926000268 |
| Provider Name | Sumaya Farran |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1871855585 PECOS PAC ID: 5890010862 Enrollment ID: I20190807001056 |
| Provider Name | Melissa Ann Osterloh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871150870 PECOS PAC ID: 4789913120 Enrollment ID: I20190910001052 |
| Provider Name | Antonio Victor Prudente Gonzalez |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1073781142 PECOS PAC ID: 3173696705 Enrollment ID: I20210820000661 |
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