1033375092 NPI number — DR. BALA ARUL VINAYAK KRISHNAN M.D., M.S.

Table of content: DR. BALA ARUL VINAYAK KRISHNAN M.D., M.S. (NPI 1033375092)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1033375092 NPI number — DR. BALA ARUL VINAYAK KRISHNAN M.D., M.S.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KRISHNAN
Provider First Name:
BALA ARUL
Provider Middle Name:
VINAYAK
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D., M.S.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
KRISHNAN
Provider Other First Name:
ARUL
Provider Other Middle Name:
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
M.D., M.S.
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1033375092
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/01/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 2040
Provider Second Line Business Mailing Address:
CAMPUS BOX 356540
Provider Business Mailing Address City Name:
PORTLAND
Provider Business Mailing Address State Name:
OR
Provider Business Mailing Address Postal Code:
97208-2040
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
503-299-9906
Provider Business Mailing Address Fax Number:
503-225-9002

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
707 SW WASHINGTON ST
Provider Second Line Business Practice Location Address:
SUITE 700
Provider Business Practice Location Address City Name:
PORTLAND
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97205-3536
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
503-299-9906
Provider Business Practice Location Address Fax Number:
503-225-9002
Provider Enumeration Date:
07/30/2008

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: 207L00000X , with the licence number:  MD159815 , registered in the state of OR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 500649107 , issued by the state of ( OR ) . This identifiers is of the category "MEDICAID".