DR. AJAY KRISHEN (NPI# 1285695452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285695452 |
Entity Type | Individual |
Full Name | DR. AJAY KRISHEN |
Credential | MD |
Practice Address |
1222 10th Ave Port Huron MI 48060-3406 |
Practice Telephone | 8109859681 |
Practice Fax Number | 8109853590 |
Mailing Telephone | 8109859681 |
Mailing Fax Number | 8109853590 |
Enumeration Date | 2006-03-29 |
Last Update Date | 2008-01-30 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
4301079791 | MI | Allopathic & Osteopathic Physicians |
Street Address |
1222 10TH AVE |
City | PORT HURON |
State | MI |
Zip Code | 48060-3406 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033198593 | Cardiology Assoc of Port Huron | Internal Medicine | 1222 10th Ave, Port Huron, MI 48060-3406 | 2006-01-12 |
1962069997 | Jacqueline Beauregard | Physician Assistant | 1222 10th Ave, Port Huron, MI 48060-3406 | 2019-05-24 |
1629549159 | Tamara Dawn Yoas | Nurse Practitioner | 1222 10th Ave, Port Huron, MI 48060-3406 | 2018-12-10 |
1245733955 | Caitlin Smith | Nurse Practitioner | 1222 10th Ave, Port Huron, MI 48060-3406 | 2018-03-09 |
1154783470 | Crystal Pennell | Nurse Practitioner | 1222 10th Ave, Port Huron, MI 48060-3406 | 2016-03-25 |
1447696737 | Gabriel Crawford | Internal Medicine | 1222 10th Ave, Port Huron, MI 48060-3406 | 2013-05-14 |
1235332917 | Elias Skaf | Internal Medicine | 1222 10th Ave, Port Huron, MI 48060-3406 | 2007-06-08 |
1679534135 | Beeravolu Ramesh Reddy | Internal Medicine | 1222 10th Ave, Port Huron, MI 48060-3406 | 2006-03-31 |
1275594731 | Madhusudhan C Reddy | Internal Medicine | 1222 10th Ave, Port Huron, MI 48060-3406 | 2006-03-31 |
1760443238 | Vrajmohan C Parikh | Internal Medicine | 1222 10th Ave, Port Huron, MI 48060-3406 | 2006-03-31 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740897297 | Casey Edward Bicker | Behavior Technician | 3245 Keewahdin Rd; Fort Gratiot, Mi 48059, Port Huron, MI 48060 | 2020-09-29 |
1962032078 | Brianne Salchert | Peer Specialist | 1170 Michigan Rd., Port Huron, MI 48060 | 2020-01-17 |
1982123006 | Kenneth Shine Heuvelman | Counselor | 3522 Holland Park Ln, Port Huron, MI 48060 | 2017-09-11 |
1346767506 | Kelly Baker | Social Worker | 520 Superior St., Port Huron, MI 48060 | 2017-08-28 |
1326418609 | Jean Burleigh | Chore Provider | 614 Staton, Port Huron, MI 48060 | 2015-09-30 |
1205242161 | Lisa Gray | Counselor | 2885 W Rick Dr, Port Huron, MI 48060 | 2014-07-10 |
1861758880 | Aaron Overly | Surgery | 2609 Electric Ave Ste B&, Port Huron, MI 48060 | 2012-04-03 |
1942591508 | S Akram Ali | Surgery | 3270 Waldheim Dr, Port Huron, MI 48060 | 2011-04-29 |
1417258179 | Nicholas Alexander Tobianski | Physician Assistant | 3550 Pine Grove Avenue, Port Huron, MI 48060 | 2010-11-11 |
1598092769 | Blue Water Pharmacy LLC | Pharmacy | 1524 10th Street, Port Huron, MI 48060 | 2009-11-10 |
Find all providers in zip 48060 |
Taxonomy Code | 207RC0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Clinical Cardiac Electrophysiology |
A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639788367 | Tsz Kin Tam | Internal Medicine | 1500 E Medical Center Dr Spc 5869, Ann Arbor, MI 48109-5869 | 2020-07-29 |
1861804023 | Ashish Gangasani Md Pllc | Internal Medicine | 6881 Brook Hollow Ct, West Bloomfield, MI 48322-5208 | 2014-05-22 |
1245675792 | West Michigan Heart | Internal Medicine | 705 Oak St Unit 1, Big Rapids, MI 49307-3109 | 2013-05-09 |
1093941395 | Firas Zahwe | Internal Medicine | 4900 Mercury Dr Ste 202, Dearborn, MI 48126-2947 | 2009-06-02 |
1215145420 | Hossam Eldin Imam Mustafa | Internal Medicine | 900 Cooper Ave Ste 4100, Saginaw, MI 48602 | 2007-05-19 |
1063588382 | Arrhythmia Center of Southwest Michigan | Internal Medicine | 7901 12th Street, Suite 201, Portage, MI 49024 | 2006-11-28 |
1609838804 | Francis A Grubelich | Internal Medicine | 7901 12th St, Ste 201, Portage, MI 49024 | 2006-04-04 |
1639725252 | Yuet Wong Cheng | Internal Medicine | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2019-08-11 |
1629537147 | Michigan Heart Rhythm Center Pllc | Internal Medicine | 4900 Mercury Dr Ste 202, Dearborn, MI 48126-2947 | 2019-03-14 |
1679030530 | Heart and Vascular Institute | Internal Medicine | 22720 Michigan Ave Ste 200, Dearborn, MI 48124-2021 | 2019-02-27 |
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City | PORT HURON |
Zip Code | 48060 |
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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.