Provider Demographics
NPI:1245287507
Name:PAMULAPATI, KRISHNA M (MD)
Entity type:Individual
Prefix:
First Name:KRISHNA
Middle Name:M
Last Name:PAMULAPATI
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Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 860912
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55486-0912
Mailing Address - Country:US
Mailing Address - Phone:507-625-4031
Mailing Address - Fax:507-284-0702
Practice Address - Street 1:1025 MARSH ST
Practice Address - Street 2:
Practice Address - City:MANKATO
Practice Address - State:MN
Practice Address - Zip Code:56001-4752
Practice Address - Country:US
Practice Address - Phone:507-625-4031
Practice Address - Fax:507-284-0702
Is Sole Proprietor?:No
Enumeration Date:2006-05-30
Last Update Date:2025-12-03
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Provider Licenses
StateLicense IDTaxonomies
MN48997207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN786822700Medicaid