Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mahadevan G Krishnan, MD PC

Organization Vascular Surgery Physician · NPI 1407929185

Mahadevan G Krishnan, MD PC is a Vascular Surgery Physician in Lakewood, New Jersey. Licensed in New Jersey. Registered with an NPI since 2006.

Licensed in
NJ
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

609 River Ave
Lakewood, NJ 08701-5227
Phone: (732) 901-8822
Fax: (732) 367-2897
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence 25MA045854 (NJ)

Record details

NPI number1407929185
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mahadevan Krishnan — President · (732) 901-8822
NPI enumeratedNovember 17, 2006
Last updated in NPPESNovember 28, 2012
Mailing address609 River Ave, Lakewood, NJ 08701-5227

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