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DR. VASU KRISHNAKUMAR M.D.
Psychiatry >> Psychiatry & Neurology >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1932224763
Individual Registrant:DR. VASU KRISHNAKUMAR M.D.
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
214 W MAIN ST SOMERTON, AZ 85350-6329 US
Tel: 928-627-1120 Fax: --
Tel: 928-627-1120 Fax: --
Contact information for business:
PO BOX 617 SOMERTON, AZ 85350-0617 US
Tel: 928-236-8001 Fax: --
Tel: 928-236-8001 Fax: --
Registration Information:
NPI: 1932224763
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 2084P0800X | Allopathic & Osteopathic Physicians Psychiatry & Neurology Psychiatry | NY | 144582 |
| Y | 2084P0800X | Allopathic & Osteopathic Physicians Psychiatry & Neurology | AZ | 51104 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 144582 | NY | 05 |
