DR. INDIRA KRISHNARAO (NPI# 1417943796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417943796 |
| Entity Type | Individual |
| Full Name | DR. INDIRA KRISHNARAO |
| Credential | M.D. |
| Practice Address |
735 Niles Cortland Rd Se Warren OH 44484-2475 |
| Practice Telephone | 3308566365 |
| Practice Fax Number | 3306095088 |
| Mailing Telephone | 3308566365 |
| Mailing Fax Number | 3306095088 |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2009-10-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 35048616 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0633050 | 05 |
| Street Address |
735 NILES CORTLAND RD SE |
| City | WARREN |
| State | OH |
| Zip Code | 44484-2475 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790237584 | Krista Burns | Physician Assistant | 735 Niles Cortland Rd Se, Warren, OH 44484-2475 | 2016-10-27 |
| 1033591813 | Warren Dermatology and Mohs Surgery LLC | Dermatology | 735 Niles Cortland Rd Se, Warren, OH 44484-2475 | 2015-06-29 |
| 1124450291 | Wendy Ann Demetrios | Nurse Practitioner | 735 Niles Cortland Rd Se, Warren, OH 44484-2475 | 2013-07-31 |
| 1619142775 | Trumbull Medical Group | Internal Medicine | 735 Niles Cortland Rd Se, Warren, OH 44484-2475 | 2008-04-29 |
| 1861673113 | John D Vance Md Inc | Internal Medicine | 735 Niles Cortland Rd Se, Warren, OH 44484-2475 | 2007-11-15 |
| 1033390497 | Michael T. Snitzer Md Ltd | Internal Medicine | 735 Niles Cortland Rd Se, Warren, OH 44484-2475 | 2007-11-14 |
| 1093842478 | Warrendermatologyand Allergymanagementcorp | Allergy & Immunology | 735 Niles Cortland Rd Se, Warren, OH 44484-2475 | 2007-02-27 |
| 1285691196 | Thomas E James | Neuromusculoskeletal Medicine, Sports Medicine | 735 Niles Cortland Rd Se, Warren, OH 44484-2475 | 2006-04-26 |
| 1619955796 | Michael T. Snitzer | Internal Medicine | 735 Niles Cortland Rd Se, Warren, OH 44484-2475 | 2006-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205446283 | Jessica Toot | Behavior Technician | Oakwood Counseling Center LLC, 1704 North Road Se, Warren, OH 44484 | 2020-08-05 |
| 1558857060 | Quantina Louise Thomas | Home Health | 1548oak Knoll Se, Warren, OH 44484 | 2018-07-09 |
| 1033609706 | Justin A Houy | Massage Therapist | 8345 E. Market St. Suite C, The Chiropractic and Functional Neurology Center, Warren, OH 44484 | 2018-05-17 |
| 1679091359 | Ester Mae Butler | Nurse's Aide | 2228 Draper Avenue Se, Warren, OH 44484 | 2017-09-01 |
| 1477070811 | Amanda Lynn Heberling | Occupational Therapy Assistant | 8128 Kenyon Dr., Warren, OH 44484 | 2017-08-26 |
| 1790213650 | Joyce A Mechling | Licensed Practical Nurse | 2737 Youngstown Rd., Warren, OH 44484 | 2017-05-23 |
| 1598206898 | Stan Catullo | Substance Abuse Rehabilitation Facility | 2737 Youngstown Warren Road Se, Warren, OH 44484 | 2017-03-20 |
| 1679014054 | Pamela M Lang | Pharmacist | 1977 Niles Rd S.e., Genoa A Qol Healthcare Company, Warren, OH 44484 | 2017-03-17 |
| 1922454800 | Jeremy Michael Capetillo | Dentist | 8740 E Market St Ste 1, Warren, OH 44484 | 2016-05-10 |
| 1215311865 | Jessica Dawn Harris | Physical Therapy Assistant | 1926 Ridge Avenue, Warren, OH 44484 | 2015-07-14 |
| Find all providers in zip 44484 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144483116 | Rebecca Y. Lu | Dermatology | 7 Mount Bethel Rd, Suite C, Warren, NJ 07059-2636 | 2008-07-09 |
| 1033379961 | Melissa Woods Bouffard | Dermatology | 122 Mount Bethel Rd Ste 1, Warren, NJ 07059-5127 | 2008-06-13 |
| 1518006865 | George Daniel Reilly | Dermatology | 31 Q Mountain Boulevard, Warren, NJ 07059-5648 | 2007-02-05 |
| 1619069549 | Wendy W Lambert | Dermatology | 13450 E 12 Mile Road, Warren, MI 48088-3671 | 2006-09-28 |
| 1730102666 | Warren Dermatology Associates LLC | Dermatology | 122 Mount Bethel Rd, Suite 1, Warren, NJ 07059-5127 | 2006-07-25 |
| 1790703486 | Michael P Bagley | Dermatology | 122 Mt Bethel Rd Ste 1, Warren Dermatology Assoc LLC, Warren, NJ 07059 | 2006-07-18 |
| 1790714442 | Amy Beth Cardellio | Dermatology | 30950 Campbell St, Warren, MI 48093-6505 | 2006-07-02 |
| 1407836877 | Steven Kenneth Grekin | Dermatology | 13450 E 12 Mile Rd, Warren, MI 48088-3671 | 2006-01-20 |
| 1194720276 | Stuart R Gildenberg | Dermatology | 11900 E 12 Mile Rd, Ste 201, Warren, MI 48093-3490 | 2005-06-16 |
| 1033591813 | Warren Dermatology and Mohs Surgery LLC | Dermatology | 735 Niles Cortland Rd Se, Warren, OH 44484-2475 | 2015-06-29 |
| Find all providers in WARREN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.