DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PRASANNA VENKATESH KRISHNASAMY, M.D., MPH

Active

PRASANNA VENKATESH KRISHNASAMY, M.D., MPH is a Internal Medicine healthcare provider located in PORTLAND, Oregon. NPI 1578762035 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · PORTLAND, OR

Registration Details

NPI Number
1578762035
Provider Type
Individual
Gender
Male
NPI Issued
Jul 15, 2007 (19.056077801856 yrs)
Last Updated
Oct 31, 2011
License
MD125896 (OR)

Practice Information

Address
2800 N VANCOUVER AVE
SUITE 230 (LEGACY MEDICAL GROUP - EMANUEL)
PORTLAND, OR, 972271630
Browse OR providers · Browse ZIP 97227
Phone
5034134340
Fax
5034134898
Primary Specialty
Internal Medicine
207R00000X

Other Internal Medicine Providers in PORTLAND, OR

Name Credential NPI
DR. ELISE JAN FULSANG MD 1952305385
TIMOTHY S CLEARY M.D. 1215933411
ANDRIS ANTONISKIS MD 1528067972
RHONDA C TIERNEY M.D. 1447250360
THOMAS G GRAGNOLA MD 1144220765
MARCIA M KERENSKY MD 1053311670
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.