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Dr. Krishnan Srinivasan, MD
Hematology & Oncology Physician in Champaign, Illinois
NPI 1770579922

Krishnan Srinivasan is a Hematology & Oncology Physician based in Champaign, IL and is specialized in Hematology & Oncology. Krishnan Srinivasan practices in Champaign, IL and has the professional credentials of MD. The NPI Number for Krishnan Srinivasan is 1770579922 and holds a License No. 036-084652 (Illinois).

The current practice location address for Krishnan Srinivasan is 101 W University Ave, Champaign, IL and can be reached out via phone at 217-366-1299.

Location: 101 W University Ave, Champaign, IL, 61820-3981
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770579922
Provider Name
Krishnan Srinivasan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
101 W University Ave, Champaign, IL, 61820-3981
Phone Number
217-366-1299
Fax Number
Provider Enumeration Date
09/23/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
F400112794 01 IL MEDICARE PTAN
036-084-652 05 IL
1770579922 01 NPI
institution
Provider Business Practice Location Address Details
Address
101 W University Ave
City
Champaign
State
Illinois
Zip
61820-3981
Phone Number
217-366-1299
Fax Number
person
Provider Business Mailing Address Details
Address
101 W University Ave
City
Champaign
State
Illinois
Zip
61820-3981
Phone Number
217-366-1299
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
036-084652 (Illinois)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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