Individual
DR. ANANTH KRISHNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
665 PEACHWOOD DR, SUITE 2, DELAND, FL 32720-0903
(386) 736-6066
(386) 738-5890
Mailing address
665 PEACHWOOD DR, SUITE 2, DELAND, FL 32720-0903
(386) 736-6066
(386) 738-5890
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME67152
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
260726300
—
FL
Enumeration date
08/04/2006
Last updated
02/14/2011
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