Organization · Type 2 NPI

Mahadevan G Krishnan, MD PC

Vascular Surgery Physician · Lakewood, NJ

NPI number 1407929185 Active

Practice location

609 River Ave
Lakewood, NJ 08701-5227

Fax (732) 367-2897

Specialties and licenses

TaxonomyCodeLicense
Vascular Surgery Physician Primary 2086S0129X25MA045854 (NJ)

Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

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About NPI 1407929185

Mahadevan G Krishnan, MD PC's National Provider Identifier is 1407929185, issued on Nov 17, 2006. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Lakewood, NJ. The record was last updated on Nov 28, 2012.