Suraj Krishnan, MBBS

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

43040 Issued in OK

Practice address

800 Stanton L Young Blvd Dept of
Oklahoma City, OK 73104-5018

Phone

(405) 271-4742

NPI assigned

Apr 30, 2021

Reactivated

May 12, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1619740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1659954345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 STANTON L YOUNG BLVD DEPT OF",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045018",
            "telephone_number": "405-271-4742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 STANTON L YOUNG BLVD DEPT OF",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045018",
            "telephone_number": "405-271-4742"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Jacobi Medical Center,",
            "address_2": "1400 Pelham Parkway South",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "10461",
            "country_code": "US",
            "telephone_number": "718-918-5642",
            "fax_number": "718-918-3174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRISHNAN",
        "first_name": "SURAJ",
        "credential": "MBBS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-30",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "deactivation_date": "2022-04-11",
        "reactivation_date": "2022-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OK",
            "license": "43040",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kris Bryant, Ma, LPC, PLLC
• Satyam Krishan, MD
• R M Krishna, M.D.
• Ashok Krishnamurthy, MD
• Preethi Sivarama Krishnan, MD
• Krista M Doll LLC
• Kristi Hlubek, LCSW, PLLC
• Kristi Self, M.D., P.C.
• Janet Elizabeth Kristic, APRN CLINICAL NURSE
• Stephen Lee Kristic, LCSW

• Cardiovascular Disease Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Cardiovascular Disease Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; 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.