| Madhavan Krishnan, MD | |
|
27725 Santa Margarita Pkwy, Ste 101, Mission Viejo, CA 92691-6704 | |
| (949) 462-3999 | |
| (949) 462-3777 |
| Full Name | Madhavan Krishnan |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 27725 Santa Margarita Pkwy, Mission Viejo, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275515728 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | A87502 (California) | Primary |
| Entity Name | Simonmed Imaging Florida Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477830818 PECOS PAC ID: 6608036108 Enrollment ID: O20160512001501 |
| Entity Name | Health Diagnostics Of California A Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104321959 PECOS PAC ID: 4284621525 Enrollment ID: O20180825000005 |
| Entity Name | Smi Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972004489 PECOS PAC ID: 3476696220 Enrollment ID: O20180825000009 |
| Entity Name | Health Diagnostics Of California A Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104321959 PECOS PAC ID: 4284621525 Enrollment ID: O20180825000084 |
| Mailing Address | Practice Location Address |
|---|---|
| Madhavan Krishnan, MD 27758 Santa Margarita Pkwy, #409, Mission Viejo, CA 92691-6709 Ph: (949) 583-9264 | Madhavan Krishnan, MD 27725 Santa Margarita Pkwy, Ste 101, Mission Viejo, CA 92691-6704 Ph: (949) 462-3999 |
Jackson W Penry, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 27700 Medical Center Road-radiology Department, Mission Viejo, CA 92691 Phone: 949-364-7744 | |
Dr. Jimmy Ton, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 27700 Medical Center Rd, Mission Viejo, CA 92691 Phone: 949-364-1400 | |
Dr. Asterios Tsimpas, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 26732 Crown Valley Pkwy Ste 541, Mission Viejo, CA 92691 Phone: 949-388-7190 Fax: 949-388-7150 | |
Dr. Ivan Babin, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 27700 Medical Center Rd, Mission Viejo, CA 92691 Phone: 949-364-1400 | |
Michael M Lock, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 27800 Medical Center Rd, Suite 160, Mission Viejo, CA 92691 Phone: 949-364-9120 Fax: 949-364-8465 | |
Stephen M Simon, MD Radiology Medicare: Medicare Enrolled Practice Location: 27700 Medical Center Rd, Mission Viejo, CA 92691 Phone: 949-364-7744 Fax: 949-364-4233 |