Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KRSNA PREMA DASA FULLMAN
Active Sole ProprietorMR. KRSNA PREMA DASA FULLMAN is a Home Health Aide healthcare provider located in EAGLE POINT, Oregon. NPI 1205407459 is currently active in the NPPES registry. Verify at CMS.
Home Health Aide · EAGLE POINT, OR
Registration Details
- NPI Number
- 1205407459
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 8, 2021 (5.1354791589683 yrs)
- Last Updated
- Jul 8, 2021
- Sole Proprietor
- Yes
Practice Information
- Address
-
1594 E ANTELOPE RDEAGLE POINT, OR, 975249601Browse OR providers · Browse ZIP 97524
- Phone
- 5417789223
- Primary Specialty
-
Home Health Aide
374U00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.