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

DR. MAHADEVAN G KRISHNAN, MD

Active

DR. MAHADEVAN G KRISHNAN, MD is a Vascular Surgery healthcare provider located in LAKEWOOD, New Jersey. NPI 1699849620 is currently active in the NPPES registry. Verify at CMS.

Vascular Surgery · LAKEWOOD, NJ

Registration Details

NPI Number
1699849620
Provider Type
Individual
Gender
Male
NPI Issued
Nov 20, 2006 (19.770027291916 yrs)
Last Updated
Oct 26, 2012
License
25MA045854 (NJ)

Practice Information

Address
609 RIVER AVE
LAKEWOOD, NJ, 087015227
Browse NJ providers · Browse ZIP 08701
Phone
7329018822
Fax
7323672897
Primary Specialty
Vascular Surgery
2086S0129X
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.