1003915323 NPI number — VIBHA KRISHNAMURTHY M.D.

Table of content: VIBHA KRISHNAMURTHY M.D. (NPI 1003915323)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1003915323 NPI number — VIBHA KRISHNAMURTHY M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KRISHNAMURTHY
Provider First Name:
VIBHA
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1003915323
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/21/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
C/O CONEVERY VALENCIUS
Provider Second Line Business Mailing Address:
218 HARVARD ST
Provider Business Mailing Address City Name:
QUINCY
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
02170
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
617-355-5010
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
UMMEED CHILD DEV CENTER
Provider Second Line Business Practice Location Address:
G-F, MANTRIPRIDE, B, 1/62
Provider Business Practice Location Address City Name:
N.M. JOSHI MARY LOWE
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
400005
Provider Business Practice Location Address Country Code:
IN
Provider Business Practice Location Address Telephone Number:
617-355-5010
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/22/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2080P0008X , with the licence number:  154320 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)