Organization Active NPI

S.G.Krishnan,M.D. & Associates

  • Obstetrics & Gynecology Physician
  • Weslaco, TX
National Provider Identifier
1114152212
Registry record updated May 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
E1357 Issued in TX
Legal business name
S.G.KRISHNAN,M.D. & ASSOCIATES
Practice address
1331 E 6TH St
Weslaco, TX 78596-6601
Phone
(956) 968-9502
Fax
(956) 968-7269
NPI assigned
May 19, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Subram Gopal Krishnan, MD
Title
President/Owner
Phone
(956) 968-9502

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X E1357 TX Primary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X E0520 TX

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

Other identifiers 2

IdentifierTypeStateIssuer
099673801MedicaidTX
110089302MedicaidTX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1242691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242691200000",
    "number": "1114152212",
    "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": {
        "organization_name": "S.G.KRISHNAN,M.D. & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-19",
        "last_updated": "2009-05-19",
        "status": "A",
        "authorized_official_last_name": "KRISHNAN",
        "authorized_official_first_name": "SUBRAM",
        "authorized_official_middle_name": "GOPAL",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "956-968-9502",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "E1357",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "E0520",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "099673801",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110089302",
            "state": "TX"
        }
    ],
    "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 May 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.