Active NPI
S.G.Krishnan,M.D. & Associates
- Obstetrics & Gynecology Physician
- Weslaco, TX
National Provider Identifier
1114152212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- E1357
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | E1357 | TX | Primary |
| Orthopaedic Surgery Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 099673801 | Medicaid | TX | |
| 110089302 | Medicaid | TX |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Weslaco, TX
- NPI 1710099130
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.