Individual
KRISHNA KUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
52 W UNDERWOOD ST, ORLANDO, FL 32806-1110
(321) 842-8475
Mailing address
52 W UNDERWOOD ST, ORLANDO, FL 32806-1110
(321) 842-8475
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
OS8187
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011207700
—
FL
05
—
272814100
—
FL
01
—
51699
BCBS
FL
01
—
NA065
MEDICARE PTAN OHRI
FL
01
—
PS300
MEDICARE PTAN OHMG
FL
Enumeration date
01/12/2007
Last updated
03/28/2023
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