Individual
DR. MADHU UNNIKRISHNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
61 MEMORIAL MEDICAL PKWY STE 2818, PALM COAST, FL 32164-5999
(386) 586-2889
(386) 286-2890
Mailing address
PO BOX 102222, ATLANTA, GA 30368-2222
(239) 432-8500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
123669
OH
207RH0000X
Hematology (Internal Medicine) Physician
14498
ND
207RH0000X
Hematology (Internal Medicine) Physician
ME159209
FL
207RH0003X
Hematology & Oncology Physician
78123
AZ
207RH0003X
Hematology & Oncology Physician
Primary
82510
WI
207RH0003X
Hematology & Oncology Physician
MD61116309
WA
207RX0202X
Medical Oncology Physician
14498
ND
207RX0202X
Medical Oncology Physician
ME159209
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115729300
—
FL
Enumeration date
07/31/2011
Last updated
08/07/2025
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