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Provider Information for 1477602522

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Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

NISHA KRISHNAIAH DDS

Gender: FEMALE

Individual NPI: 1477602522

Calendar   Last Updated:  2007-07-08
  Certification Date: 

Details

Name Value
NPI 1477602522
Enumeration Date 2007-01-09
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 4162 24TH ST
SAN FRANCISCO, CA 94114-3615
United States

Phone: 415-285-7007 | Fax: 415-285-1969
View Map External Link
Primary Practice Address 4162 24TH ST
SAN FRANCISCO, CA 94114-3615
United States

Phone: 415-285-7007 | Fax: 415-285-1969
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 122300000X - Dentist CA 48162