Individual
DR. PANDURANGAN NMI KRISHNARAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
37840 MEDICAL ARTS CT, ZEPHYRHILLS, FL 33541-4325
(813) 788-5569
(813) 782-8628
Mailing address
37840 MEDICAL ARTS CT, ZEPHYRHILLS, FL 33541-4325
(813) 788-5569
(813) 782-8628
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME52220
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0055965
GHI
—
01
—
00641
WELLCARE
FL
01
—
020018582
MEDICARE RAILROAD
FL
05
—
049160800
—
FL
01
—
0624006
AETNA HEALTHCARE
FL
01
—
07560
BLUE CROSS BLUE SHIELD FL
FL
01
—
1705024
UNITED HEALTHCARE
FL
01
—
203005
AMERIGROUP
FL
01
—
203772
AVMED
FL
Enumeration date
08/16/2005
Last updated
08/26/2013
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