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MAHADEVAN G KRISHNAN, MD PC
NPI 1407929185
Surgery - Vascular Surgery in Lakewood, NJ

Active since November 17, 2006
609 RIVER AVE, LAKEWOOD, NJ 08701(732) 901-8822(732) 367-2897 Get Directions Write a Review

NPPES record last updated: November 28, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mahadevan G Krishnan, Md Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAHADEVAN G KRISHNAN, MD PC (NPI 1407929185) is a healthcare organization registered as a vascular surgery in Lakewood, New Jersey and active in the NPI registry since November 2006. The organization lists Mahadevan G Krishnan, President, as its authorized official.

NPPES Registry Identity

NPI1407929185
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameMAHADEVAN G KRISHNAN, MD PC
Location Address609 RIVER AVELakewood, NJ 08701-5227
Mailing Address609 River AveLakewood, NJ 08701-5227 · (732) 901-8822 · Fax (732) 367-2897
Phone(732) 901-8822
Fax(732) 367-2897
Organization SubpartNo
Authorized OfficialMahadevan G KrishnanPresident · (732) 901-8822
Enumeration DateNovember 17, 2006
Last NPPES UpdateNovember 28, 2012
✔ NPI 1407929185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License✔ Licensed in NJ · 25MA045854
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
609 RIVER AVE, Lakewood, NJ 08701
Open in Google Maps ↗

Other Identifiers 4

Medicare PIN080616NJ
Medicare UPINC60258NJ
Medicare ID-Type Unspecified542526NJ
OtherDB3539NJ · Railroad Medicare

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MAHADEVAN G KRISHNAN MD
Surgery (Vascular Surgery)
609 RIVER AVE
LAKEWOOD, NJ 08701
Ocean County (732) 901-8822

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mahadevan G Krishnan, MD PC's NPI number?

The NPI number for Mahadevan G Krishnan, MD PC is 1407929185. It was assigned to this organization in the NPPES registry on November 17, 2006.

Where is Mahadevan G Krishnan, MD PC located?

Mahadevan G Krishnan, MD PC is located at 609 River Ave, Lakewood, NJ 08701. The listed phone number is (732) 901-8822.

What is Mahadevan G Krishnan, MD PC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

When was this NPI record last updated?

The NPPES record for Mahadevan G Krishnan, MD PC was last updated on November 28, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.