Provider Demographics
NPI:1861594871
Name:SOWLES, KRICHNA F (MD)
Entity type:Individual
Prefix:
First Name:KRICHNA
Middle Name:F
Last Name:SOWLES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1041 KIRKPATRICK RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BURLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27215-8148
Mailing Address - Country:US
Mailing Address - Phone:336-538-0565
Mailing Address - Fax:336-538-0564
Practice Address - Street 1:1041 KIRKPATRICK RD
Practice Address - Street 2:SUITE 100
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27215-8148
Practice Address - Country:US
Practice Address - Phone:336-538-0565
Practice Address - Fax:336-538-0564
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2021-09-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC2007-0009207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5906045Medicaid
NC5906045Medicaid
I14133Medicare UPIN