Individual ProviderVijay KrishnaFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address1524 W Lacey Blvd Ste 201a, Hanford, CA 93230-5965(553) 537-0355(832) 407-7083PECOS EnrollmentBased on the most recent information from CMS, provider Vijay Krishna is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 11:47 AM.Profile DetailsProvider ID1003297839Provider TypeIndividualFull NameKrishna, VijayTitleDr.CredentialMDGenderMaleSole ProprietorNoEnumeration Date6/17/2015Last Updated1/31/2022Contact InformationPractice LocationPractice Address1524 W Lacey Blvd Ste 201a, Hanford, CA 93230-5965Phone(553) 537-0355FaxUnlisted FaxMailing LocationMailing Address619 Centennial Dr Apt E, Hanford, CA 93230-7491Phone(832) 407-7083FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseA164441CaliforniaCode207Q00000XDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense4301107494Michigan