Individual
DR. NISHA BALA KRISHNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
3404 N LECANTO HWY, SUITE A, BEVERLY HILLS, FL 34465-3569
(352) 513-4867
(888) 314-9873
Mailing address
3404 N LECANTO HWY, SUITE A, BEVERLY HILLS, FL 34465-3569
(352) 513-4867
(888) 314-9873
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO3609
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PO3609
LICENSE
FL
Enumeration date
03/30/2011
Last updated
06/04/2025
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