Individual
RACHNA A KRISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
13241 BARTRAM PARK BLVD UNIT 209, JACKSONVILLE, FL 32258-5233
(904) 242-4220
(904) 551-1502
Mailing address
13241 BARTRAM PARK BLVD UNIT 209, JACKSONVILLE, FL 32258-5233
(904) 242-4220
(904) 551-1502
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
ME1152119
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010557300
—
FL
05
—
03344456
—
NY
Enumeration date
12/20/2008
Last updated
01/18/2025
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