Active NPI
Subram Gopal Krishnan, MD
- Orthopaedic Surgery Physician
- Weslaco, TX
National Provider Identifier
1093827412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- E0520
- Practice address
- 1331 E 6TH St
Weslaco, TX 78596-6601 - Phone
- (956) 968-9502
- Fax
- (956) 968-7269
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | E0520 | TX | Primary |
Addresses
Primary practice location
1331 E 6TH St
Weslaco, TX 78596-6601
Mailing address
1331 E 6TH St
Weslaco, TX 78596-6601
Phone (956) 968-9502
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E0520 | TX | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1093827412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1331 E 6TH ST",
"city": "WESLACO",
"state": "TX",
"postal_code": "785966601",
"telephone_number": "956-968-9502",
"fax_number": "956-968-7269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1331 E 6TH ST",
"city": "WESLACO",
"state": "TX",
"postal_code": "785966601",
"telephone_number": "956-968-9502",
"fax_number": "956-968-7269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRISHNAN",
"first_name": "SUBRAM",
"middle_name": "GOPAL",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "TX",
"license": "E0520",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Weslaco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.