Individual provider Active NPI

Manjunath Maskal Krishnaiah, M.D

  • Otolaryngology Physician
  • Birmingham, AL
National Provider Identifier
1881095149
Registry record updated Sep 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
L.4027F Issued in AL
Practice address
1808 7 Avenue South
563 Boshell Building
Birmingham, AL 35292
Phone
(205) 934-9765
Fax
(205) 934-3993
NPI assigned
Sep 5, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X L.4027F AL Primary

Addresses

Primary practice location

1808 7 Avenue South
563 Boshell Building
Birmingham, AL 35292

Mailing address

BDB 563
1720 2ND Avenue South
Birmingham, AL 35294-0012
Phone (205) 934-9765

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

NPI Registry JSON

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

{
    "created_epoch": "1409875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409875200000",
    "number": "1881095149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BDB 563",
            "address_2": "1720 2ND AVENUE SOUTH",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352940012",
            "telephone_number": "205-934-9765",
            "fax_number": "205-934-3993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 7 AVENUE SOUTH",
            "address_2": "563 BOSHELL BUILDING",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35292",
            "telephone_number": "205-934-9765",
            "fax_number": "205-934-3993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASKAL KRISHNAIAH",
        "first_name": "MANJUNATH",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-05",
        "last_updated": "2014-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "AL",
            "license": "L.4027F",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2014; 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.