Krishnan, Ananth

Krishnan, Ananth is an individual health care provider with primary practice located at 665 Peachwood Dr Suite 2, Deland FL 32720-0903. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Krishnan, Ananth can be contacted via phone (386) 736-6066.

Contact Information

Primary practice address
665 Peachwood Dr Suite 2 Deland FL 32720-0903
Fax: (386) 738-5890
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME67152 Florida

Profile Details

NPI number 1073521902
LBN Legal business name Krishnan, Ananth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2006
Last updated Feb 14th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073521902 NPPES
Florida MEDICAID 260726300

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