Shiva S Krishna, MD is a
Specialist physician based in Decatur, Alabama. Shiva S Krishna is licensed to practice in Alabama (license number 00025205) and his current practice location is 1201 8th St Se, Decatur, Alabama. He can be reached at his office (for appointments etc.) via phone at
(256) 560-0646.
NPI number for Shiva S Krishna is 1952373805 and his current mailing address is 101 Westover Cir Ste C, Madison, Alabama. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1952373805.
Physician's Profile
| Full Name | Shiva S Krishna |
|---|
| Gender | Male |
|---|
| Speciality | Specialist |
|---|
| Location | 1201 8th St Se, Decatur, Alabama |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1952373805
- Provider Enumeration Date: 02/05/2006
- Last Update Date: 04/09/2020
Medical Identifiers
Medical identifiers for Shiva S Krishna such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1952373805 | NPI | - | NPPES |
| 00025205 | Other | AL | AL. STATE LICENSE # |
| 221879 | Medicaid | AL | |
| 182367 | Medicaid | AL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207K00000X | Allergy & Immunology | 25205 (Alabama) | Secondary |
| 174400000X | Specialist | 00025205 (Alabama) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shiva S Krishna is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Shiva S Krishna, MD
101 Westover Cir Ste C,
Madison, AL 35758-4910
Ph: (256) 890-0331 | Shiva S Krishna, MD
1201 8th St Se,
Decatur, AL 35601-3356
Ph: (256) 560-0646 |
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